Chest Challenge MCQ - Give your diagnosis

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

e.Pulmonary hypertension

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