PMC4894734_01
Chest radiograph shows in the lower zone bronchiectasis changes (white star), dextrocardia (blue arrow) and right-sided gastric bubble (white arrow)
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She presents a dextrocardia (Figure 1).
Electrocardiogram showed inverted "P" waves in L1 and AVL on left-sided chest leads
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Electrocardiogram (ECG) showed inverted "P" waves in L1 and AVL on left-sided chest leads (Figure 2).
HRCT of the chest in parenchymal window and in axial section reveals bronchiectasis and dextrocardia
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High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
CT abdomen in axial section without contrast injection, shows situs inversus totalis with liver in the left side and spleen in the right side
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High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
Sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side
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High resolution computed tomography (HRCT) chest revealed bronchiectasis changes, CT abdomen confirmed situs inversus, and the sinus CT scan reveals maxillary sinusitis and filling of nasal pits mainly on the left side (Figure 3, Figure 4, Figure 5). in laboratory work-up, hemogram was normal, no anomaly in the protein electrophoresis, reactive protein C was normal, antinuclear antibody, antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor, HIV serology were negative.
ENT exam shows nasal polyposis
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Ear microscopic examination and the audiogram were normal (Figure 6).