By Dr Deepu
A teenage boy presents with a history of chronic
sinusitis and frequent pneumonias. On physical examination, the patient has
normal vital signs and is afebrile. He has mild frontal and maxillary sinus
tenderness with palpation. Transillumination of the sinuses is normal. Heart
sounds are best heard on the right side of the chest. The boy is coughing
copious amounts of yellowish sputum. The chest X ray is shown.
Which of the following is the most likely
diagnosis?
a.Cystic fibrosis
b.Kartagener syndrome
c.Pulmonary dysplasia
d.Tuberculosis
e.Pulmonary hypertension
Kartagener syn
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