PMC4173507_01
Chest X-ray showing dextrocardia and right-sided gastric air bubble indicating the presence of both dextrocardia and situs inversus (the most common combination). There was no radiological evidence of bronchiectasis
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F1
Plain radiograph of chest showed dextrocardia with fundal gas shadow on right side [Figure 1].
Imaging by computerized tomography scan showed abdominal situs inversus with dextrocardia and appendicitis
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F2
Imaging by CT scan showed abdominal situs inversus [Figure 2].
Electrocardiogram with normal lead placement showed marked right axis deviation with negative p wave in lead aVL and I.
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F3
ECG and echocardiography. ECG showed marked right axis deviation with negative p wave in lead aVL and I [Figure 3], ECG with reverse lead placement showing no abnormality [Figure 4], 2 D echocardiogram with M mode Doppler shown no cardiac shunting, ophthalmic fundoscopy showed grade 1 hypertensive retinopathy.
Electrocardiogram with reverse lead placement showing no abnormality
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F4
ECG and echocardiography. ECG showed marked right axis deviation with negative p wave in lead aVL and I [Figure 3], ECG with reverse lead placement showing no abnormality [Figure 4], 2 D echocardiogram with M mode Doppler shown no cardiac shunting, ophthalmic fundoscopy showed grade 1 hypertensive retinopathy.