Depth pocus sign a4c pattern neurology clinical cardiology s4c pericardial cp cardiac phtn 2 saline

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

syndrome #1: Pulm HTN ... PVeins (extra-cardiac ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline

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