CXR+radiology+pocus dislocation aortic cardiac differential a4c pulmonary clinical diagnosis tamponade phtn doubleshunt 2

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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 ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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