EURORAD ESR

Case 13576

Incidentally detected Kartagener's syndrome

Author(s)
Pradosh Kumar Sarangi1, Ipsita Acharya2, J Mohanty3, B M Swain4

(1, 2) Resident
(3) Professor and HOD,
(4) Associate Prof
Department of Radiodiagnosis,
SCB Medical College and Hospital,
Cuttack, India
Email:lipu90sarangi@gmail.com
 
Patient
male, 13 year(s)
 
 
  • Figure 1
    Scanogram

    Cardiac apex, descending aorta on the right side. (dextrocardia)

     
    Area of Interest: Anatomy; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    CECT abdomen
     

    Situs inversus abdominalis: note the total transposition of abdominal viscera: liver, IVC on the left side; spleen, gastric fundus, aorta on the right side (i.e. mirror image of internal organs normal positioning).

     
    Area of Interest: Abdomen; Anatomy; Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Situs inversus totalis

     
    Area of Interest: Abdomen; Anatomy; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Contrast agent-oral; Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    CT Thorax
     

    Axial CT (mediastinal window): Note right-sided aortic arch (arrow) (situs inversus thoracalis)

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial CT (mediastinal window): Descending aorta (AO) on the right and inferior vena cava (IVC) on the left with dextrocardia (situs inversus thoracalis).

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Congenital;

    Axial CT (lung window) showing left middle lobe minimal bronchiectasis.

     
    Area of Interest: Lung; Imaging Technique: CT; CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Chronic obstructive airways disease; Dilatation;

    Axial CT (lung window): Bilateral lower lobe mild bronchiectasis. Cardiac apex pointing to the right.

     
    Area of Interest: Lung; Imaging Technique: CT; CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Dilatation;

    Axial MIP (maximum intensity projection) CT scan showing centrilobular nodules with tree-in-bud pattern in the left upper lobe.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial MIP (maximum intensity projection) CT scan showing centrilobular nodules with tree-in-bud pattern in bilateral lower lobes.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    CT Paranasal sinus (PNS)
     

    Bilateral maxillary sinuses, inferior turbinates mucosal thickening.

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Bilateral ethmoid sinuses mucosal thickening.

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Cardiac apex, descending aorta on the right side. (dextrocardia)
 
Situs inversus abdominalis: note the total transposition of abdominal viscera: liver, IVC on the left side; spleen, gastric fundus, aorta on the right side (i.e. mirror image of internal organs normal positioning).
 
Situs inversus totalis
 
Axial CT (mediastinal window): Note right-sided aortic arch (arrow) (situs inversus thoracalis)
 
Axial CT (mediastinal window): Descending aorta (AO) on the right and inferior vena cava (IVC) on the left with dextrocardia (situs inversus thoracalis).
 
Axial CT (lung window) showing left middle lobe minimal bronchiectasis.
 
Axial CT (lung window): Bilateral lower lobe mild bronchiectasis. Cardiac apex pointing to the right.
 
Axial MIP (maximum intensity projection) CT scan showing centrilobular nodules with tree-in-bud pattern in the left upper lobe.
 
Axial MIP (maximum intensity projection) CT scan showing centrilobular nodules with tree-in-bud pattern in bilateral lower lobes.
 
Bilateral maxillary sinuses, inferior turbinates mucosal thickening.
 
Bilateral ethmoid sinuses mucosal thickening.
 
 
 
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