A 19 year old lady P1,G1 presents with increasingly severe left lower quadrant abdominal pain. Pregnancy test is negative
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
The heart is on the right side representing dextrocardia.
Situs inversus is present (gastric bubble also on the right side).
No free air under the diaphragm.
No evidence of any bronchiectasis.
Assuming the ‘L’ maker was correctly placed, then this is a case of incidentally found dextrocardia and situs inversus.
Kartagener syndrome (primary ciliary dyskinesia) is very unlikely: there is no radiological evidence of bronchiectasis; the patient has previously fallen pregnant (likely functioning cilia in the Fallopian tubes)
The LLQ pain was from appendicitis. With situs inversus, the gut is rotated – with the appendix on the left side.