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Figure 5.  Contrast-enhanced CT scan shows areas of fat attenuation within the interatrial septum (arrowheads), findings that are consistent with LHIS. The fat spares the fossa ovalis (arrow), which should not be mistaken for an atrial septal defect. LA = left atrium, LV = left ventricle, RA = right atrium, RV = right ventricle.







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