Rare Anatomy Discovery Was Found in Routine Scan
A 60-year-old woman learned she has situs inversus totalis after a standard check for heart health.
Updated on Sept. 25, 2026 in Heart Disease

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A 60-year-old woman was diagnosed with situs inversus totalis after an ultrasound revealed her internal organs are mirror-reversed. This asymptomatic condition was identified on March 24, 2026, during a routine evaluation for subclinical atherosclerosis.
Why it matters
Identifying anatomical anomalies is critical for future medical care, as mirror-reversed organs can complicate surgical procedures and diagnostic imaging interpretations. This case underscores the value of screening for underlying conditions even in individuals without symptoms.
A case report published in Cureus detailed a 60-year-old patient who exhibits situs inversus totalis, a rare condition occurring in roughly 1 in 10,000 people. While the patient is asymptomatic, approximately 3% to 5% of individuals with this anatomy also have congenital heart disease.
The players
Cureus
A peer-reviewed, open-access medical journal that publishes research and clinical case reports across various health specialties.
The details
The discovery occurred when clinicians performed a carotid and vertebral artery duplex ultrasound, which failed to locate the right-sided brachiocephalic trunk. Instead, the scan identified a left-sided innominate artery, prompting further investigation. Doctors then performed a contrast-enhanced CT angiography of the chest and abdomen to confirm that all major organs were mirror-imaged.
Timeline
March 24, 2026: Case report published in Cureus.
September 25, 2026: Date of news article publication.
Health Landscape
Situs inversus totalis is a rare congenital anomaly that places the organs in a mirror-image position compared to typical anatomy. This case report contributes to the existing body of literature documenting these anatomical variations in asymptomatic older adults.
If you are told you have an anatomical variation, ensure this is documented in your permanent medical record for all future care teams to access. Discuss any diagnostic findings with your doctor to understand if your anatomy requires specialized approaches for routine tests.
The takeaway
Anatomical anomalies are often discovered incidentally during routine diagnostic screenings for other concerns. It is always wise to keep a complete record of your medical history and imaging results to share with any new healthcare provider you consult.
Further reading
For more information on diagnostic heart imaging, visit the Heart Disease section.
Source note: This article includes information reported by Medical Daily.
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