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I agree there is probably a foul before the elbow; hard to know definitively on this video.
If there was no call before the elbow, I have this as a flagrant foul. The contact was excessive, where the elbow was swung at a speed that exceeded the rest of the body. This would be a flagrant in NCAA-M as mentioned in the points of emphasis, and to me generally a good rule of thumb to follow in determining what is excessive.
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