Bilateral Poland syndrome

Case contributed by Ahmed Montasr
Diagnosis almost certain


Lean chest. Limited shoulder movement.

Patient Data

Age: 20 years
Gender: Male

Bilateral agenesis of pectoralis major muscles. Hypoplasia of pectoralis minor, serratus anterior and latissimus dorsi muscles. Bilateral Sprengel's deformity (elevated scapula). 

Incidental finding of large splenic well-defined cyst of high T2 signal with fine peripheral septations.

Case Discussion

The patient presented with a lean chest with atrophied muscles. On MRI, T2 sequences showed bilateral agenesis of pectoralis major muscles, hypoplasia of pectoralis minor, serratus anterior and latissimus dorsi muscles with bilateral Sprengel's deformity, which is constant with bilateral Poland's syndrome. 

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