Bifid rib

Case contributed by Dr Maulik S Patel

Presentation

Right anterior chest wall bump with pain - 6 wks. O/E : Bump at 3rd costo-chondral junction. Referred for local USG and / or chest radiograph.

Patient Data

Age: about 10 yrs
Gender: Male
Ultrasound

Ultrasound chest

3rd rib appears to be much wider than 2nd rib. 3rd rib anterior end shows division of bony part  which continue to be costal cartilage. Two cartilage fuse with one other and then attach to  sternum.

Though ultrasound gave clear idea about bifid rib, chest AP supine radiograph for ribs was done for two reasons.

1 ) to rule intramedullary bony lesion in rib.

2 ) to get more ' conventional '  way of documenting abnormal of interest.

X-ray

Bifid anterior end of right 3rd rib.    Second is a cropped  image.

Case Discussion

Bifid rib - a ( normal ) variant .

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Case information

rID: 19994
Case created: 28th Oct 2012
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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