ASPD bubble pocus pulmonary effusion ultrasound clinical ascites malignant a4c contrast doubleshunt

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

liver disease and pulmonary ... Early transit of bubbles ... DavidWienerMD #DoubleShunt ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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