Presentation
Chronic cough and history of chronic sinusitis.
Patient Data
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CT scout imaging demonstrates:
- right-sided heart with linear shadows seen at both lung fields (more evident at left paracardiac region) suggestive of bronchiectasis
- relatively hyperinflated lungs
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CT reveals situs inversus with dextrocardia. There is also cystic bronchiectasis in the middle and anterior zones of both lungs.
Also, the centrilobular ground-glass opacities and the tree-in-bud sign are well visible in both left middle and lower lobes, as well as right ligula segments and lower lobe, suggests current endobronchial infection.
Pleural based ground-glass nodules are seen in the left upper lobe anterior segment and the right lower lobe superior segment.
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Frontal sinuses are not pneumatized.
Mild mucosal thickening is present at maxillary and sphenoidal sinuses.
Nasal septal deviation to the right side with the left-sided spur formation is noted.
Case Discussion
A typical case of Kartagener syndrome, including chest and paranasal sinus CT scans.
The triad of situs inversus, bronchiectasis and sinusitis are clearly shown in this case.