PMC4745912_01
CT scan of the chest with contrast demonstrating situs ambiguous: (A) a right-sided stomach, (B) multiple splenules on the right, and (C) the liver in the midline occupying both right and left portions of the abdomen.
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fig1
Interestingly, there were multiple structural abnormalities incidentally found in the form of an abdominal situs ambiguous with the liver seen in the midline, a right-sided stomach, and multiple small splenules in the right upper abdomen (Figure 1).
CT scan of the paranasal sinuses showing complete opacification of the maxillary sinuses (MS) bilaterally and some of the ethmoid air cells (arrow) including the sphenoid sinuses. There is also obliteration of the osteomeatal complexes bilaterally.
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CT findings of situs ambiguous and history of chronic bronchiectasis, the diagnosis of KS was entertained. CT scan of the paranasal sinuses was therefore requested and it confirmed the presence of pansinusitis with complete opacification of the maxillary, sphenoid, and ethmoid sinuses (Figure 2).
T1 coronal (a) and T1 sagittal (b) sections of the brain on presentation showing a 2.2 x 2.1 x 2.2 cm intrasellar mass in keeping with a pituitary macroadenoma invading the left cavernous sinus and completely encasing the left internal carotid artery.
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Magnetic resonance imaging (MRI) of the pituitary gland was done and it revealed a 2.2 x 2.1 x 1.2 cm intrasellar pituitary macroadenoma (Figure 3).