chest xray of a 45 yr old woman with chronic cough and wt loss.now jus see the obvious abnormality i.e the heart shadow, it is seen the right side.This can be either dextrocardia or the lab assisant has labelled L on the wrong side.so to come into conclusion jus look and the fundic gas shadow , even that appears to be o the right side.now carefully look and the lung fields.you can see a tram track shadows (encircled area.sorry couldn draw a better circle:). ) which are thickened bronchioles on side on view, and ring shadows on end on veiw, suggestive of emphysema.hence this might be a case of kartagener's syndrome.
Kartageners synrome is characterised by ciliary dysfunction which leads to:
1.bronchiectasis ( d/t defective ciliary clearance)
2.situs inversus (since visceral rotation during developement depends on proper ciliary motion)
3.recurrent attacks of sinusitis,otitis media,bronchitis,pneumonia etc( same as in 1)
4.infertility(defective sperm motility)
awesum!
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