Ascites pocus radiology abdominal s4c atrial pericardial contrast bubble shunting saline hepatopulmonary hepatology doubleshunt

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Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when

demonstrated by contrast ... from agitated saline ... visualized in the left atrium ... #bubble #shunting ... #hepatology #clinical

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

Early transit of bubbles ... #2 c/w hepatopulmonary ... as RAP>LAP as atrial ... DavidWienerMD #DoubleShunt ... #cardiology #saline

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