Immotile cilia syndrome

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Chronic cough.

Patient Data

Age: 20
Gender: Female
x-ray
Frontal
Lateral
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There is dextrocardia. The lungs demonstrate coarsening of the bronchovascular markings, best seen in the lower zones, consistent with bronchiectasis. 

ct
This study is a stack
Axial lung
window
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EXPIRATION
LUNG
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Coronal
lung window
This study is a stack
AXIAL
THICK LUNG
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Axial
non-contrast
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Situs inversus is noted with the aortic arch on the right and the middle lobe on the left. Spleen is also on the right side of the liver on the left.

Changes of bronchiectasis are seen in the left middle lobe. There are subtle changes of bronchiectasis in the lingula segment (on the right). No definite bronchiectasis elsewhere. Lungs and pleural cavities are otherwise clear.

No lymph node enlargement is identified.

No suspicious bone lesions identified.

Case Discussion

Typical appearances of immotile cilia syndrome. 

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