Chronic productive cough.
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Cylindrical dilatation of bronchial tree in middle and lower lobes of both lungs, more pronounced in the left side. Bronchial wall thickening.
Patchy air space consolidation in superior segment of left lower lobe.
Situs inversus in association with lower lobe bronchiectasis should prompt the diagnosis of Kartagener syndrome.
The possibility of superadded infectious process can also be taken into consideration.
This case is contributed by Dr. Naqibullah Foladi and Dr. M.M.S. Hoshang.