Penetration pocus lachman a4c atrial echocardiogram plax left laa effusion contrast enlargement

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Severe Left Atrial Enlargement on Echocardiogram
Have you ever seen a left atrium this big!?!?
LA diameter

Severe Left Atrial ... LA diameter > 7 ... #Atrial #Enlargement ... #Clinical #POCUS ... #A4C

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

L shunt as RAP>LAP ... as atrial septum ... shifts left ... #clinical #pocus ... #a4c #intrapulmonary

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