Episternal ossicles

Case contributed by Nico Behnke
Diagnosis certain

Presentation

Workup for rectal cancer metastasis. Incidental finding.

Patient Data

Age: 65 years
Gender: Male
ct

Two accessory ossicles are located posterior to the superior margin of the manubrium.

There is a 3 x 2 cm pulmonary mass located dorsally to the left inferior pulmonary vein, which is likely to be a metastasis secondary to known rectal cancer.

Case Discussion

Episternal ossicles are accessory ossicles located superior and/or posterior to the superior border of the manubrium. They are present in about 4% of the population and are usually asymptomatic.

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