PMC6348809_01
Central and peripheral cyanosis.
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fig1
On physical examination he had peripheral and central cyanosis (Figure 1), grade 4 clubbing (Figure 2), muscle wasting, needle marks, palmar erythema, and bilateral resting tremor but no asterixis.
Digital clubbing.
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fig2
On physical examination he had peripheral and central cyanosis (Figure 1), grade 4 clubbing (Figure 2), muscle wasting, needle marks, palmar erythema, and bilateral resting tremor but no asterixis.
Chest CT scan showing the prominent pulmonary vasculatures and irregular borders of the liver.
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fig3
Within 5 heart cycles from appearing in the right atrium, contrasts' microbubbles appeared in the left atrium and left ventricle (Figures 3 and 4).
Contrast-enhanced transthoracic echocardiography showing contrasts' microbubbles in the left side of the heart.
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fig4
Within 5 heart cycles from appearing in the right atrium, contrasts' microbubbles appeared in the left atrium and left ventricle (Figures 3 and 4).