Pectus excavatum

Case contributed by Jonathan Lin
Diagnosis certain

Presentation

History of lymphoma and presented with cough

Patient Data

Age: 20 years
Gender: Female
x-ray

Indistinct right cardiac border with soft tissue opacity in the right paracardiac region is caused due to her pectus excavatum deformity.

Moderately severe pectus excavatum and loss of normal thoracic kyphosis is best evident on the lateral view. 

No focal pneumonia, mass or effusion.

Case Discussion

This is a 20 year old female with history of lymphoma who presented with a cough. No definite focal pneumonia, mass or effusion was noted. Focal opacity in the right paracardiac region was caused due to the moderately severe pectus excavatum deformity. Her primary site of lymphoma was in the right supraclavicular region and is not evident on this exam.

This case was submitted with supervision and input from:

Soni C Chawla, M.D.                                                                                                
Associate Professor                                       
Department of Radiological Sciences                      
David Geffen School of medicine at UCLA               
Olive View-UCLA Medical Center

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