Transverse color doppler US of the abdomen (below left) shows an apparent reversal of the normal positions of the superior mesenteric artery and superior mesenteric vein. This is confirmed on the spectral doppler US of the aforementioned mesenteric vessels (above). AP image from an upper GI exam (below right) shows situs inversus with levocardia and the stomach in the right upper quadrant. The duodenum is redundant and the duodenal jejunal junction is over the right pedicle of the T11 vertebral body. The cecum was in the midline.