Pectus excavatum

Case contributed by Dr Vikas Shah

Presentation

Shortness of breath after long distance travel, ?PE

Patient Data

Age: 20 years
Gender: Male
X-ray

Chest x-ray

The right heart border is indistinct. The lungs are otherwise clear. 

CT

CT thorax

There is no pulmonary embolism, and the lungs are clear. The heart is displaced towards the left by sternal depression due to pectus excavatum.

Case Discussion

The indistinct right heart border on the chest x-ray is accounted for by the alteration of the chest wall in pectus excavatum. Another classic chest x-ray sign, not to clearly seen here, is a horizontal orientation to the posterior ribs and downward sloping anterior ribs giving a 7 or reverse-7 sign.

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Case information

rID: 57463
Published: 27th Dec 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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