Presented for medical fitness chest film prior to commencement of new employment.
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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.
1 case question available
Typical appearances of melorheostosis affecting the ribs
- Bansal A. The dripping candle wax sign. Radiology. 2008;246 (2): 638-40.