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Typical findings of pectus excavatum on the anterior chest radiograph (steep anterior ribs and apparent soft tissue opacity to the right of the heart border) and a subtle metallic denisty projected over the lower thoracic spine. Typical appearance of the Amplatz occluder on the lateral projection. It is used as a percutaneous device to close a secundum ASD that has been detected in adulthood. Its orientation in this case is a little unusual (i.e. seen in profile on the lateral view) since the heart is distorted by the pectus excavatum.