PMC9234165_01
Chest X-ray shows dextrocardia in this patient with situs inversus.
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F1
Chest X-ray (posteroanterior view) showed a cardiac shadow on the right side (Figure 1).
Chest computed tomography shows inflammation in both sides of lung lobes.
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F2
Many tree-in-buds on both sides of lung lobes were found in Chest computed tomography (CT) (Figure 2).
Computed tomography scan of the abdomen showing liver on the left.
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F3
Abdominal CT confirmed complete situs inversus totalis (Figure 3).
The paranasal sinus CT scan of the proband shows non-specific thickening of the mucosa on the bilateral maxillary sinuses.
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F4
Otitis media tympanitis with effusion was found by an otolaryngologic examination (Figure 4).
Fiberoptic bronchoscopy showed bronchial total inversion, bronchial mucosal inflammation in both lungs.
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F5
Fiberoptic bronchoscopy showed total bronchial inversion and bronchial mucosal inflammations in both lungs (Figure 5).
The results of Sanger sequencing in this case. Compound heterozygous mutations in the DNAH9 gene are shown.
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F6
The results showed that two suspected pathogenic mutations were located on chromosome 17; CHR17:11513858-11513859 and CHR17:11593470 (Figure 6), and detected in DNAH9 gene associated with PCD type 40, which was partially related to the phenotype of the subjects with PCD.