case_images: PMC10646753_01
case_images: Radiological findings in family A. Patient 1: (A) chest radiograph showing centrally 
  positioned heart, bowel gas in both the right and left hypochondrium, and evidence of 
  bronchiectasis in both lungs, most prominently in the lower lung fields; (B) coronal computed 
  tomography scan showing polysplenia in the left hypochondrium. Patient 2: (C) chest radiograph 
  showing evidence of mirror-image dextrocardia with situs inversus, as well as evidence of 
  infiltrates and/or bronchiectasis in the lower lung fields.
case_images: AJTCCM-29-3-425-fig2.jpg
case_images: PMC10646753_01_AJTCCM-29-3-425-fig2.jpg
case_images: F2
case_images: Her chest  radiograph demonstrated dextrocardia and SIT (Figure 2C).
case_images: Fig. 3. Radiological findings in family B. Patient 3: (A - D) chest radiographs showing apparently 
  normal position of the heart and abdominal organs. They also show (A) segmental right upper 
  and lower lobe atelectasis; (B) complete left lung collapse and right middle lobe atelectasis; 
  (C) right middle and lower lobe collapse and consolidation; and (D) right upper lobe collapse 
  and consolidation and segmental left lower lobe collapse. A coronal computed tomography 
  scan (E) shows collapse and consolidation of the right upper lobe and segmental left upper lobe, 
  patent bronchi, and normal position of the nasogastric tube. Patient 4: chest radiographs on 
  days 1 (F) and 4 (G) of life showing mirror-image dextrocardia and situs inversus and increasing 
  infiltrates in the left lung.
case_images: AJTCCM-29-3-425-fig3.jpg
case_images: PMC10646753_01_AJTCCM-29-3-425-fig3.jpg
case_images: F3
case_images: Figure 3 A - D show the chest  radiographic findings over several weeks.  The trachea and bronchi were patent on a CT scan  of the chest (Figure 3E) and bronchoscopy, a 50-mutation panel for cystic  fibrosis was negative, and the results of first-line immunological tests  were normal. A chest  radiograph confirmed mirror-image dextrocardia and situs inversus,  and the presence of bilateral lung infiltrates (Figure 3 F and G).