Pectus excavatum

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Chest wall deformity.

Patient Data

Age: 20 years
Gender: Male
x-ray

Normal lungs. The right heart border is indistinct on frontal projection. On lateral projection, the typical appearance of pectus excavatum can be seen.

Case Discussion

On frontal x-ray films, indistinct right heart border, displacement of the heart on the left side, obliteration of the descending aorta interface, the horizontal appearance of the posterior ribs with downward sloping of the ribs anteriorly giving the reverse-7 sign suggests the diagnosis.

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