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Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on

HPS) Diagnosis Algorithm ... Bubble echo is ... the same way on bubble ... HPS #Diagnosis #Algorithm

Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In

chest x-ray shows subtle ... Notice the subtle ... #Clinical #Radiology ... #CXR #Sarcoidosis

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... #defect #ASD #Bubble ... Echocardiogram #a4c #clinical

First study the CXR.
Notice the subtle increased density in the area behind the heart that needs

First study the CXR ... Notice the subtle ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign

Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3

Echocardiogram Bubble ... Intra-cardiac shunt: Bubbles ... (this video): Bubble ... Echocardiogram #Bubble ... #Study #clinical

Pleural effusion is not always visible as a meniscus in the costophrenic angle.
A subpulmonic effusion

between the stomach bubble ... radiograph, the stomach bubble ... the stomach air bubble ... #Clinical #Radiology ... #CXR #CHF #Pleural

A non-subtle example of true Sezary syndrome. Patient presented with erythroderma without antecedent history of

A non-subtle example ... Syndrome #Cells #Clinical

Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -

Contrast #a4c #clinical ... #pocus #bubble

First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden

First study the CXRs ... There is a subtle ... #Clinical #Radiology ... #CXR #Pneumonia

Acute promyelocytic leukemia (blood). Typical morphologic features are bilobed ("butterfly") nuclei with dispersed chromatin, subtle to

dispersed chromatin, subtle ... Pathology #Hematology #Clinical

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