ASPD bubble radiology cxr chestxray pulmonary lobar left xray 2 intrapulmonary lobe doubleshunt a4c

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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 ... septum shifts left ... DavidWienerMD #DoubleShunt ... clinical #pocus #a4c

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