PMC5662827_01
Chest X-ray with right hemidiaphragm paralysis.
CRIPU2017-9848696.001.jpg
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fig1
Her CXR showed right hemidiaphragm elevation that was confirmed with a sniff test (Figure 1).
Transesophageal echocardiogram with Doppler demonstrating right-to-left interatrial shunting through the patent foramen ovale.
CRIPU2017-9848696.002.jpg
PMC5662827_01_CRIPU2017-9848696.002.jpg
fig2
Transesophageal echocardiogram confirmed a PFO with continuous RLS, normal right ventricle, and right atrium size (Figure 2).