Fell off couch and hit head and had a seizure.
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Multiple fractures are seen involving the posterior ribs, bilaterally. The infant is intubated and NGT in situ.
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Posterior rib fractures are said to be a classic finding in non-accidental paediatric injuries.
These images are from Dr. Paula Brill's excellent pediatric radiology collection. Dr. Brill is a professor in the department of radiology (pediatric section) at Weill Cornell. This case was donated to Radiopaedia.org by Radswiki.net