Friday, July 31, 2009

KARTAGENER'S SYNDROME...



CT scan axial sections of chest..both lung and mediastinal windows were taken..
lung window reveals consolidation and collapse of right upper lobe
area of bronchiectasis is seen involving the middle lobe and basilar segments of right lower lobe..
mediastinal window reveals an obvious mediastinal shift to the right side
lower cuts reveal liver's presence on the right side....





a soft tissue density lesion is seen in the right upper lobe which on lung window confirmed to be collapse of upper lobe on right side with an air bronchogram




















all above mentioned findings are summed up as...
situs inversus with bronchiectatic changes and element of collapse involving the right lung...
possibility of kartagener's syndrome could not be excluded....
Patients with primary ciliary dyskinesia as seen in kartagener's syndrome exhibit a wide range of defects in ciliary ultrastructure and motility, which ultimately impairs ciliary beating and mucociliary clearance
Kartagener syndrome is characterized by the clinical triad of chronic sinusitis, bronchiectasis, and situs inversus..infertility is also an outcome of immotile cilia.
sometimes...kartagener's is sometimes diagnosed when patient comes for infertility workup...


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