Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt 68M with HCV induced cirrhosis with hepatopulmonary syndrome (clubbing and spider angiomata, 82% on RA when walking). Dr. Jeffrey Kanne @JeffreyKanneMD #Hepatopulmonary #Syndrome #Echocardiogram #bubble #shunting #intrapulmonary #cardiology #clinical #pocus #hepatology #a4c
