Case contributed by Ian Bickle
Diagnosis certain


Medical fitness chest film prior to commencement of new employment.

Patient Data

Age: 40 years
Gender: Male

Chest x-ray


Dense sclerotic ribs in a dermatomal distribution. Sclerotic 6th and 7th left ribs along a confluent length of bone. Dripping candle wax appearance.

Asymptomatic patient with long period of static appearances. After initial viewing, old films were reviewed dating back more than 10 years to early adulthood which were unchanged.

Case Discussion

Typical appearances of melorheostosis affecting the ribs.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.