CXR+radiology+pocus lateral effusion anatomy pulmonary chf psax atrium cardiac 1: chambers contrast 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 ... as RAP>LAP as atrial ... PFO or ASD, and later ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus

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