POCUS Suprapatellar radiology pulmonary cardiac psax embolism echocardiogram atrial a4c labeled artery 1: sign doubleshunt

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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 ... PVeins (extra-cardiac ... #clinical #pocus ... #a4c #intrapulmonary

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