Situs Inversus Totalis
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Situs Inversus Totalis History: 41 yo man has painless microscopic hematuria found on screening urinalysis with primary care manager. No prior Hx. Findings: • CXR - dextrocardia, bronchus intermedius on the left side of the chest • KUB- Liver edge on the left, gastric bubble on the right • Abd CT- complete mirror image of all abdominal organs. No evidence of nephrolithiasis on non-contrast CT Ddx: • Situs Inversus Totalis • Technical error • Imaging findings unrelated to clinical picture • Kartagener Syndrome Dxhow: imaging Exam: CV: RRR, mo m/r/g. Apical impulse located right of sternum in 5th intercostal space. Lungs: CTAB Abd: soft, NT/ND, no rebound, guarding. Normal BS. Palpable liver edge in the LUQ. No MeSH data available. |
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MPX1136_synpic46363: Liver on the left side, stomach on the right side, spleen on right side |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Situs Inversus Totalis
History: 41 yo man has painless microscopic hematuria found on screening urinalysis with primary care manager. No prior Hx.
Findings: • CXR - dextrocardia, bronchus intermedius on the left side of the chest • KUB- Liver edge on the left, gastric bubble on the right • Abd CT- complete mirror image of all abdominal organs. No evidence of nephrolithiasis on non-contrast CT
Ddx: • Situs Inversus Totalis • Technical error • Imaging findings unrelated to clinical picture • Kartagener Syndrome
Dxhow: imaging
Exam: CV: RRR, mo m/r/g. Apical impulse located right of sternum in 5th intercostal space. Lungs: CTAB Abd: soft, NT/ND, no rebound, guarding. Normal BS. Palpable liver edge in the LUQ.
No MeSH data available.