Google+ 54.226.169.172
| | | | | | | | | :: compass
Look for :: :: :: Open-Close Option Buttons

Working ...

MedPix® Home Page Search Patient Charts: Situs URL for This Search

  Results for [ Situs ]   - Click for Details and More Options
Search Results for => Situs <= Result Items 1 - 20
Using tf_case_results.php3 function


Case ID: 14305

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisPrimary ciliary dyskinesia, Situs inversus
HistoryPatient is an 18 year-old girl with a history of otitis media and a history of recurrent respiratory infections responsive to antimicrobial agents.
FindingsChest, upright PA and lateral view X-Ray: Situs inversus is present. Heart size is normal. Bronchiectasis is seen in the anteroinferior left lung equivalent of the right middle lobe. No pleural effusion is demonstrated. The skeletal structures have a normal appearance. Paranasal Sinus CT: Postsurgical changes are consistent with prior resection of the infundibula of both maxillary sinuses. There is minimal residual mucoperiosteal thickening.
Differential DxPrimary ciliary dyskinesia (immotile cilia syndrome), Kartagener’s syndrome, Situs inversus totalis, heterotaxy syndrome, cystic fibrosis, immunodeficiency (immunoglobulin deficiency), allergies
Discussion ... (continues ...)
User Group
ContributorDavid To :: Childrens Hospital of Dayton, OH - Author Info
ReviewerDawn E Light :: Childrens Hospital of Dayton, OH - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 13208

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus with Dextrocardia
HistoryHISTORY: A 64-year old woman. Rule out pulmonary embolism.
FindingsTwo-view chest x-ray: FINDINGS: Frontal and lateral radiographic views of the chest demonstrate stable appearance of complete Situs inversus. Left atrial and ventricular enlargement is again noted, grossly stable from prior examination. The lungs are grossly clear. Median sternotomy wires remain intact. Degenerative changes are visualized throughout the bony structures. IMPRESSION: 1. Stable appearance of left atrial and ventricular enlargement in the setting of dextrocardia. PA PROTOCOL CHEST CT: FINDINGS: There are sternotomy wires surrounded by bone, suggesting surgery at a young age. There is mirror image anatomy of the heart and upper abdominal organs, findings consistent with the patient's known Situs inversus. The patient has a left-sided aortic arch with mirror image branching vessels. The right side of the heart is enlarged, as is the main pulmonary artery, which demonstrates some possible focal narrowing just distal to the pulmonic valve. There is no evidence of pulmonary embolism. There is focal band-like attenuation in the lower lungs, likely representing bibasilar atelectasis. No bronchiectasis is seen. IMPRESSION: 1. Findings consistent with Situs inversus with a left aortic arch and mirror image branching vessels. 2. No evidence of pulmonary embolism. CT HEMATURIA PROTOCOL (ABDOMEN/PELVIS): FINDINGS: Situs inversus is noted.
Differential Dx-Asplenia/Polysplenia -Congenital Coronary Abnormalities -Sinusitis -Ventricular Septal Defect -The most common cause of false-positive results is the technologist's or radiologist's inattention to proper labeling. -Kartagener Syndrome
Discussion ... (continues ...)
User Group
ContributorLaura M Morgan :: Naval Medical Center San Diego - Author Info
ReviewerPeter D Snyder MD :: Naval Medical Center San Diego - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 12953

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Ambiguous (Heterotaxy)
History29-year-old caucasion female, G2P0 s/p in-vitro fertilization procedure approximately 20 weeks earlier without complication. Noted diamnionic dichorionic twins on previous ultrasound. Referred for repeat US for date confirmation, placental location and evaluation of anatomy. No current complaints. Patient received regular pre-natal care.
Findings1) Situs Ambiguous, Heterotaxy Cardiosplenic Syndrome, Baby B, Female, with levocardia (heart pointing towards the left) and the stomach bubble on the right. Four-chamber view revealed no cardiac anomalies with adequate visualization right ventricular outflow tract. Due to high risk of congenital heart disease and visceral anomalies fetal echocardiogram ordered. 2) Dichorionic Diamniotic twin gestation with dates matching fetal size and symmetric growth 3) No distinct gross anomalies noted with Baby A
Differential Dx1. Situs Inversus - Levocardia vs. Dextrocardia 2. Situs Ambiguous (Heterotaxy) - Left Isomerism (Polysplenic) - Right Isomerism (Asplenia) 3. Malrotation of the gut 4. Imaging Artifact
Discussion ... (continues ...)
User Group
ContributorJason D Kehrer :: Naval Medical Center San Diego - Author Info
ReviewerDaniel Hawley :: Naval Medical Center San Diego - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 12524

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
History41 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
Differential Dx• Situs Inversus Totalis • Technical error • Imaging findings unrelated to clinical picture • Kartagener Syndrome
Discussion ... (continues ...)
User Group
ContributorWilliam Martin :: Uniformed Services University - Author Info
ReviewerJames G. Smirniotopoulos, M.D. :: Uniformed Services University - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 11854

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
History87 year old man with complaint of a cough.
FindingsChest radiography demonstrates dextrocardia with the cardiac apex pointing to the right. There is a right-sided aortic arch, associated with slight deviation of the distal trachea to the left. A loop of bowel projects in the right upper quadrant of the abdomen. The minor fissure is on the left side. There is no evidence of bronchiectasis. Contrast enhanced CT at the level of the origin of the great vessels demonstrates mirror-image branching of the great vessels; a left-sided superior vena cava; and a contrast filled esophagus posterior to the trachea. Contrast enhanced CT at the level of the diaphragm demonstrates reversal of the normal cardiac anatomy. Note that the cardiac apex and descending aorta are on the right, and the inferior vena cava is on the left side. Contrast enhanced CT of the upper abdomen show mirror-image anatomy of the viscera. The liver, gallbladder, and inferior vena cava are all left-sided. The stomach, spleen, and aorta are right-sided structures. Contrast enhanced CT at the level of the iliac crests demonstrates a left-sided inferior vena cava, and a right-sided abdominal aorta. Maximal Intensity Projection demonstrates the right-sided aortic arch, left-sided superior vena cava, dextrocardia, right-sided contrast filled stomach, and left sided liver, and gallbladder. Contrast enhanced CT with lung windowing and leveling, demonstrates normal lung parenchyma without evidence of bronchiectasis. Additionally, mirror-image anatomy is evident with a left-sided minor fissure, the pulmonary outflow tract and aortic root are in reversed position, and the left pulmonary artery is seen crossing the mediastinum anterior to the esophagus and left main bronchi.
Differential Dx• False-positive on Radiography: Technologists or radiologist’s inattention to labeling of the radiograph. The technologist prepares for a PA radiograph, labels the image, but images the patient in an AP projection. • False-Positive on CT: Depending on how the patient is positioned into the CT scanner, head first or feet first, supine or prone, and if incorrectly marked by the technologist, the left-right orientation will be displayed erroneously suggesting Situs inversus. • Situs Inversus • Situs Inversus totalis • Dextrocardia • Situs ambiguous or heterotaxy • Kartagener Syndrome
Discussion ... (continues ...)
User Group
ContributorPaul J. Shogan :: National Capital Consortium - Author Info
ReviewerKevin F. McCarthy :: Civilian Medical Center - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 11684

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
HistoryPatient with known, surgically proven Situs inversus.
FindingsFindings consistent with Situs inversus.
Differential Dx
Discussion ... (continues ...)
User Group
ContributorJeremy C Mauldin :: National Capital Consortium - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 11347

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
HistoryThe patient is a 55-year-old male, requiring pre-operative evaluation before back surgery.
Findings1. Pre-operative L-spine series: The visualized osseous structures display normal mineralization. There are five non-rib-bearing lumbar vertebrae present. The vertebral body and intervertebral disk space heights are maintained at all visualized levels. Anterior osteophytes present at multiple levels, most significant at the L2 to L3 level. There is extensive facet joint degenerative change at the L5 to S1 level, with moderate to severe foraminal stenosis. There is no evident spondylolysis or spondylolisthesis. No instability is demonstrated with flexion or extension views. The visualized soft tissue structures are unremarkable. 2. Pre-operative Chest X-ray: Total Situs inversus is present. The lungs are well aerated and clear. There is no bronchiectasis. The cardiomediastinal silhouette is within normal limits for size. The pulmonary vessels are within normal limits for caliber. The osseous structures are normal.
Differential DxSitus inversus Situs inversus totalis Dextrocardia Situs ambiguous or Heterotaxy Kartagener syndrome
Discussion ... (continues ...)
User Group
ContributorHugh M Dainer :: National Capital Consortium - Author Info
ReviewerWilliam R Carter, M.D. :: National Naval Medical Center Bethesda - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 10942

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus
History42 y/o male with history of stroke in the past, please rule out infiltrate
FindingsCXR - The "Left" side marker is present to the right of the patient and the image has been inverted. There are multiple old healed rib fractures on the side labeled left. Otherwise no abnormal findings CT - Shows there is near complete Situs inversus with the heart apex pointing towards the right and the liver on the left side. Of note, the stomach was present on the normal left side, and the ileocecal valve was on the right.
Differential DxSitus Inversus
Discussion ... (continues ...)
User Group
ContributorMichael J Reiter :: National Capital Consortium - Author Info
ReviewerKevin F. McCarthy :: Civilian Medical Center - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 9462

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
History40 year old male. No history given.
FindingsChest radiograph demonstrates dextrocardia with stomach bubble under the right hemi-diaphragm. Elevated right hemi-diaphragm is present. Lungs are clear. Osseous structures are unremarkable. All findings are stable compared to multiple prior radiographs (not shown). MR of the abdomen demonstrates a left-sided liver with right-sided polysplenism.
Differential DxMisplaced radiographic markers Situs Inversus Totalis Situs Solitus with Dextrocardia
Discussion ... (continues ...)
User Group
ContributorJason W. Schroeder :: Civilian Medical Center - Author Info
ReviewerAlbert V Porambo :: Civilian Medical Center - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 8677

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus Totalis
HistoryChest and abdominal pain presentation to ED
FindingsComplete Situs inversus with dextrocardia, left sided liver (with overlying colon) and right sided gastric bubble. No evidence of bronchiectasis.
Differential DxMislabeling Situs Inversus with Kartegener's Syndrome
Discussion ... (continues ...)
User Group
ContributorDana G. Borgeson :: Naval Medical Center Portsmouth - Author Info
ReviewerErnesto Torres M.D. :: Civilian Medical Center - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
Case ID: 4428

Sample Image
Click to View

View
:: - TF Case :: Display Thumbnails - Thumbnails :: Disease Topic - Topic :: Thumbnail View
DiagnosisSitus Inversus with pulmonary edema
History81 year old male retired pilot presented with acute onset difficulty breathing, wheezing, and productive cough with white sputum. He denied chest pain, fever, abdominal complaints. He had a prior history of asthma and COPD. He was admitted to the ICU for pulmonary treatment.
Findings-Situs inversus with thoracic and abdominal organs reversed. -Mild cardiomegaly -Compression Left Lung Base -No evidence of pneumothorax or pulmonary embolism-Impression: Situs inversus with diffuse pulmonary edema
Differential Dx-Situs inversus -Ischemic Cardiomyopathy -Pulmonary Embolism -Pulmonary Infection -Linear interstitial pattern: lymphangitic spread of malignancy, inflammation, fibrosis, edema
Discussion ... (continues ...)
User Group
ContributorMS-4 USU Teaching File :: Uniformed Services University - Author Info
Reviewer :: - Editor Info
Case Accepted: 2013-06-21 14:18:34-04 :: Revised: 2013-06-14 07:37:42.905883-04 :: Submitted: 2013-06-12 22:35:33.619476-04
11 Search Results for => Situs <= Result Items 1 - 20
search - Search More - (Click to Open) :: close


Use this MedPix® Visitor Feedback Form for Comments and Suggestions


MedPix® is sponsored by the Department of Radiology and Radiological Sciences, USUHS, Bethesda, MD
We do not accept paid advertisements.

This website is accredited by Health On the Net Foundation. Click to verify. We comply with the HONcode standard
for trustworthy health information:
verify here.

MedPix® is a Registered Trademark of USUHS
The MedPix® Database Engine is Patented - USPTO No. 7,080,098
Portions of MedPix® are Copyright © 1999 - 2014 by J.G. Smirniotopoulos, M.D. & H. Irvine, M.D.
The MedPix® Classification Schema Copyright © 1999 - 2014 by J.G.Smirniotopoulos,M.D.
MedPix® has displayed more than   1,133,357,896   pages since 3 September 2000.

Database Successfully Disconnected