Patient had increasing respiratory distress and required hig | Figure 1
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Patient had increasing respiratory distress and required high flow nasal cannula. Due to murmur on exam echocardiogram was obtained and showed a pfo with small left to right shunt. Throughout abx course oxygen therapy was weaned steadily to 0.5L and work of breathing improved but tachypnea remained. Pt never became febrile. Speech evaluation showed patient was safe on thin liquids and he PO fed well. Attempts to wean to room air caused desaturations to mid 80s quickly. Repeat CXR read as right sided pneumonia. Diagnosis/further workup?
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