bleeding posterior differential pocus cardiology contrast bubble liver mass 1: saline doubleshunt

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

with end-stage liver ... Early transit of bubbles ... DavidWienerMD #DoubleShunt ... intrapulmonary #cardiology ... #saline #contrast

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

Diagnosis 1. ... opacification by agitated saline ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus ... #bubble

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