Imaging of situs inversus before CMRI. A: Chest X-ray with dextro-cardia (black arrow), posterior anterior projection, initial image of the first appearance in our hospital in January 2010. B: Lateral view of the chest. C: CT in axial and coronal (E) view after intra-venous contrast medium application showing a situs inversus totalis of the abdomen. The liver is on the left side of this axial view showing a hepatocellular carcinoma infiltrating a liver lobe (black arrows; 64-VCT Light Speed, GE, Healthcare, USA). The same view was seen in transversal (D) and coronal (F) views after application of contrast medium in 1.5 T MRI (Magnetom Symphony, Siemens AG, Healthcare sector, Erlangen, Germany). C: Coronal view in CT and MRI with contrast medium. The spleen was right sided (not demonstrated on these slices).