Presentation
Fever and cough. History of repeated chest infections.
Patient Data
Age: 20 years
Gender: Male
From the case:
Situs inversus totalis
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Info
Cardiac silhouette rotated with the apex on the right - dextrocardia.
Patchy reticulonodular opacities are seen in the medial left lower zone with ring and parallel shadows indicating bronchiectasis. Increased attenuation of the lower pole of the left hilum.
Stomach bubble and nasogastric tube in right hypochondrium (situs inversus).
Case Discussion
Situs inversus totalis with left sided bronchiectasis suggesting Kartagener syndrome, a diagnosis which requires further correlation. Bronchiectasis predisposes to recurrent pneumonia.
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