Woltman a4c thrombus labeled s4c atrial defect asd sign bubble negative contrast stenosis rheumatic

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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

(5) Layered clot ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c ... #thrombus

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

Negative Contrast ... Small secundum ASD ... #Contrast #Effect ... echocardiogram #s4c ... #pocus #bubble

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