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. 2018 Feb 14;18:18. doi: 10.1186/s12883-018-1022-7

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© The Author(s). 2018

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — The four-level RLS categorization based on the microbubbles count. a Grade 0 = Negative; b Grade I = 1 ≤ MBs ≤ 10; c Grade II = MBs > 10 and no curtain; d Grade III = curtain. Abbreviations: RLS (right-to-left shunt); MBs (microbubbles)