Diffuse anterior protrusion of the sternal body at the lower aspect best evident on the lateral view is compatible with mild to moderate pectus carinatum deformity.
The manubrium sternum is not well evaluated on this exam. The ossifications centers of the lower sternum have fused.
There are 12 pairs of ribs. Slight levoconvex curvature of the upper thoracic spine. No other discrete osseous anomaly is evident.
The heart and central pulmonary vascularity are normal.
The upper abdomen appears normal.