case_images: PMC6292226_01
case_images: The radiographic findings.. Notes: A chest X-ray film (A) and a selected chest computed tomography image (B) demonstrate bronchial wall thickening and bronchial dilatation (arrows), which are suggestive of bronchiectasis, especially in the lower zone of both lungs, as well as dextrocardia (asterisks).
case_images: imcrj-11-359Fig1.jpg
case_images: PMC6292226_01_imcrj-11-359Fig1.jpg
case_images: f1-imcrj-11-359
case_images: Renal sonography showed that the right and left kidney long axis dimensions were 10.8 and 11.1 mm, respectively, with normal renal cortex echogenicity, while radiographic studies demonstrated bronchiectasis in the lower zone of both lungs, as well as dextrocardia (Figure 1).
case_images: The renal biopsy findings.. Notes: A light micrograph (A) shows the glomerulus accompanied by the slight expansion of the mesangial matrices with mesangial cell proliferation (Periodic acid-Schiff staining). Immunofluorescence microscopy (B) shows granular staining for IgA limited to the mesangium. The scale bar is indicated in each panel.. Abbreviation: Ig, immunoglobulin.
case_images: imcrj-11-359Fig2.jpg
case_images: PMC6292226_01_imcrj-11-359Fig2.jpg
case_images: f2-imcrj-11-359
case_images: Renal biopsy, which was performed on hospital day 2 (Figure 2), revealed two cores of renal parenchyma with nine glomeruli, one of which was globally sclerotic.