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#JADEL Quick survey: How would you interpret this bubble study? A. Normal - no PFO B. Equivocal - cannot exclude PFO C. Abnormal- probable PFO D. Other- please explain American Society of Echocardiography CV Case Journal
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@ASE360 @CASEfromASE b ASA mostly bulging to the right, so insufficient Valsalva
@ASE360 @CASEfromASE D. Is there a negative contrast effect? L -> R?
@ASE360 @CASEfromASE The septum appears aneurysmal is continuously bowing towards RA so can't tell if RAP ever exceeded the LAP@
@ASE360 @CASEfromASE ASA with negative bubbles
@ASE360 @CASEfromASE Sonographer: slowing frames down I “think” I saw about 5-10 Bubbles move r to l … the RV and RA don’t look impressive in size however IAS appears to bow to towards RA ( elevated LAP) and might be Aneurysmal … maybe saw some negative contrast in LA later. Cannot r/o tiny pfo
@ASE360 @CASEfromASE c
@ASE360 @CASEfromASE B
@ASE360 @CASEfromASE No pfo
@ASE360 @CASEfromASE A
@ASE360 @CASEfromASE A
![DISGUSTING: Jennifer Welch and Angie Sullivan giggle about Lindsey Graham dying, boasting he “liked killing, you know, the biggest war hawk on the planet,” and spent one of his final days on Earth in Ukraine holding a drone that looks like “a black c***”... WELCH: I want to watch the wall-to-wall coverage of this. Like, this is great. [SULLIVAN LAUGHING] And then there was this photo that I saw online. This is the last known photograph that Lady Graham took because, you know, he had just been in the Ukraine. SULLIVAN: Right. WELCH: And so, he took a photograph with a drone. Kiley, pop this up. Okay, for those of you that are listening, Okay, this drone looks like a big giant black c***. SULLIVAN: It does. WELCH: All right, there’s just no other way around it. He is smiling from ear to ear. He is holding the black c***, and the interesting thing about this drone is it’s called the P1 Sun, and it’s like — SULLIVAN: P1! WELCH: — in Russian, it means they call it the p***. This drone is called the p***. SULLIVAN: What? WELCH: And so, this is the shit with, I cannot believe, like, you know, back in the day, would watch movies or shows, and you would think, oh, that’s so crazy, like, about the president or about the United States. SULLIVAN: Right. WELCH: Like that — that’s crazy. I’m so glad that would never happen. We’re living in the time period. We’re like, that’s from — that’s from an episode of Veep. SULLIVAN: For sure, yeah. WELCH: That’s an episode of Veep in the Lindsey Graham. Holding a big giant black c*** that is called p*** in Russian. And that’s his last known photograph before he dies. SULLIVAN: If I saw that on Veep, I would think that’s hilarious, but that would never happen. I mean, you just would never think that would actually happen. First of all, who names drones p***? WELCH: Well, when they look like black c***s, I think you do. SULLIVAN: I guess you do. WELCH: I think that’s really not even that creative. When you look at what that drone looked like, I mean, I think c*** or p***. SULLIVAN: No, it just looks like a p***. It does. WELCH: Yeah. And look at how happy Lindsey is. SULLIVAN: Well, we know why Lindsey’s so happy. WELCH: He died after he was groping a — a p*** — a black c*** that was made for mass destruction. SULLIVAN: Yeah. WELCH: This is like exactly what he was. There’s one photograph that just completely consolidates exactly who he was. He liked c***, as we all know — SULLIVAN: Yeah. WELCH: — you know, the worst-kept secret in Washington, D.C. and he liked killing, you know, the biggest war hawk on the planet, and there he is with a black c*** that kills right before he dies. SULLIVAN: I mean, that could not be a better epitaph right there, that picture.](https://image.24vids.com/tw-2077120537713680830/amplify_video_thumb/2077120418742222849/img/DukscAQu6GQA4oGA.jpg)
