Dehiscent manubrium post CABG surgery with lung herniation
CABG surgery many years ago. Now has chest pain and cough. CT scan of the chest to assess for malignancy.
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Ununited manubrial osteotomy (sternal split) with wire sutures that have "pulled through". Sternal body has united. Note how the lung (arrow) has herniated into the defect created by the non-union.
This is an unusual non-union of the manubrium that has created a gap into which the lung has herniated and is presumably associated with a cough impulse.