Pectus carinatum and juvenile dorsal kyphosis

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Acute onset shortness of breath and chest pain.

Patient Data

Age: 18 years
Gender: Male

Dorsal kyphosis with dorsal spondylodegenerative changes, suggestive of Scheurmann disease (juvenile kyphosis).

Pectus carinatum.

Pectus carinatum.

Dorsal kyphosis with anterior wedging at mid-dorsal level, vertebral endplate irregularity and spondylodegenerative changes, seen as narrowed intervertebral disc spaces, marginal osteophytes and multiple Schmorl nodes.

Normal CT features of both lungs.

Case Discussion

Pectus carinatum may rarely be associated with juvenile kyphosis 1.

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