CASE 151

History: A 47-year-old man presents with abdominal pain.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Malrotation

B. Postoperative

C. Situs inversus

D. Splenomegaly

E. Mislabeled image

2. Chest x-ray shows dextrocardia and right lower lobe bronchiectasis. What chronic disease does this patient have?

A. Cystic fibrosis

B. Recurrent aspiration

C. Kartagener’s syndrome

D. Tracheoesophageal fistula

3. What is the most serious disease associated with situs ambiguus (heterotaxy syndrome)?

A. Recurrent chest infections

B. Congenital heart disease

C. Pancreatic insufficiency

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