Situs inversus totalis or heterotaxy on antenatal ultrasound scanning, mild fetal cerebral ventriculomegaly
Neonatal
Neonatal respiratory distress, continuous rhinorrhoea, heterotaxy, and hydrocephalus
Childhood
Chronic productive or wet-sounding cough, recurrent atelectasis, pneumonia, atypical asthma that is nonresponsive to treatment, daily rhinitis, nasal polyps, chronic sinusitis in older children, otitis media, and hearing loss
Adolescence and adult life
Bronchiectasis, chronic mucopurulent sputum production is common, digital clubbing, pulmonary function tests usually show a progressive obstructive or mixed pattern, nasal polyposis and halitosis infertility in males (50%) due to immotility of spermatozoa, ectopic pregnancy, and subfertility in females