Hunt a4c effusion msk ajr differential pocus bubble syndrome cardiology 2 ecg ra hepatology right

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Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M

showing delayed right-to-left ... angiomata, 82% on RA ... intrapulmonary #cardiology ... #clinical #pocus ... #hepatology #a4c

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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

shunt 2. ... #Atrium #RA #Differential ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble

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