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Fig. 1 | BMC Pulmonary Medicine

Fig. 1

From: Novel compound heterozygous mutations of DNAH5 identified in a pediatric patient with Kartagener syndrome: case report and literature review

Fig. 1

Image test, bronchoscopy and TEM results. a chest X-ray shows dextrocardia and bronchial inflammation. Arrow indicates the apex of the heart. b Chest CT shows dextrocardia, bronchiectasis and mucus plugs. c Sinus CT shows rhinosinusitis. Arrow indicates mucosal thickening in the maxillary sinuses. d bronchoscopy shows thinned mucosa, sharpened tracheal ring and a large amount of white sputum. Arrow indicates a white nodular protuberance, which is caused by mucus thinning accompanied by bulging of cartilage rings. e TEM of biopsies from bronchial mucosa shows wrinkled surfaces and lost integrity of cilia. Microtubular disorganization, partial loss of outer dynein arms and reduction of outer dynein arms are detected. Arrow indicates an axoneme with absence of outer dynein arms (TEM images resolution: 2048 × 2048 pixels without any downstream processing)

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