Normal hemithorax

Case contributed by Julie-Marthe Grenier , 8 Feb 2022
Diagnosis not applicable
Changed by Fabio Macori, 11 Feb 2022

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Age changed from 40 to 40 years.
Presentation was changed:
Radiographs were obtained after two weeks of left rib pain (approx T7 to T10) following a fall.
Body was changed:

This case shows the normal appearance of the bony thorax (left hemithorax). Linear areas of calcification in the costal cartilage along the anterior aspect of the lower ribs are a very frequent and normal finding. ItThis patient can be seen in this patientsee it at the anterior aspect of ribs T7, T8, T9, and T10.

The AP view centred around T7 demonstrates the posterior aspect of the ribs above the diaphragm and is obtained with the patient in suspended full inspiration.

The AP view centred around T12 demonstrates the posterior aspect of the ribs below the diaphragm. The radiograph is taken with suspended respiration at the end of exhalation to raise the diaphragm.

The corresponding AP oblique views (above or below the diaphragm) best demonstrate the axillary portion of the ribs because it removes the superposition of the posterior ribs.

The PA oblique view allows the evaluation of the lateral aspect of most ribs and is obtained in full inspiration.

A metallic marker was placed on the patient to pinpoint the pain location. It was cropped out of most images along withand the left marker during image processing. It can be seen on the AP oblique of the upper ribs.

  • -<p>This case shows the normal appearance of the bony thorax (left hemithorax). Linear areas of calcification in the costal cartilage along the anterior aspect of the lower ribs are a very frequent and normal finding. It can be seen in this patient at the anterior aspect of ribs T7, T8, T9, and T10.</p><p>The AP view centred around T7 demonstrates the posterior aspect of the ribs above the diaphragm and is obtained with the patient in suspended full inspiration.</p><p>The AP view centred around T12 demonstrates the posterior aspect of the ribs below the diaphragm. The radiograph is taken with suspended respiration at the end of exhalation to raise the diaphragm.</p><p>The corresponding AP oblique views (above or below the diaphragm) best demonstrate the axillary portion of the ribs because it removes the superposition of the posterior ribs.</p><p>The PA oblique view allows the evaluation of the lateral aspect of most ribs and is obtained in full inspiration.</p><p>A metallic marker was placed on the patient to pinpoint pain location. It was cropped out of most images along with the left marker during image processing. It can be seen on the AP oblique of the upper ribs.</p>
  • +<p>This case shows the normal appearance of the bony thorax (left hemithorax). Linear areas of calcification in the costal cartilage along the anterior aspect of the lower ribs are a very frequent and normal finding. This patient can see it at the anterior aspect of ribs T7, T8, T9, and T10.</p><p>The AP view centred around T7 demonstrates the posterior aspect of the ribs above the diaphragm and is obtained with the patient in suspended full inspiration.</p><p>The AP view centred around T12 demonstrates the posterior aspect of the ribs below the diaphragm. The radiograph is taken with suspended respiration at the end of exhalation to raise the diaphragm.</p><p>The corresponding AP oblique views (above or below the diaphragm) best demonstrate the axillary portion of the ribs because it removes the superposition of the posterior ribs.</p><p>The PA oblique view allows the evaluation of the lateral aspect of most ribs and is obtained in full inspiration.</p><p>A metallic marker was placed on the patient to pinpoint the pain location. It was cropped out of most images and the left marker during image processing. It can be seen on the AP oblique of the upper ribs.</p>

References changed:

  • Bruce W. Long, Jeannean Hall Rollins, Barbara J. Smith. Merrill's Atlas of Radiographic Positioning and Procedures. (2018) ISBN: 9780323566674 - <a href="http://books.google.com/books?vid=ISBN9780323566674">Google Books</a>
  • Long BW, Hall Rollins J, Smith BJ. Merrill's atlas of radiographic positioning and procedures, volume 1, 14th ed. Elsevier, 2020. (ISBN: 9780323566674)

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