Poland syndrome with nipple markers

Case contributed by Anthony George

Presentation

Recall for chest x-ray with nipple markers

Patient Data

Age: 50
Gender: Male

Chest x - ray shows no nodules outside of the nipple markers. The right nipple marker is much higher than the left. In addition there is differential transradiancy of the lungs with the right lung being more lucent than the left.

CT scan shows an absent right pectoralis muscle in keeping with Poland syndrome. The reason for the discrepancy in nipple position on chest x-ray is because the absent right pectoral muscle means the skin (and nipple) is retracted against the thoracic cage while the left nipple is displaced inferiorly by the normal pectoral muscle.

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Case information

rID: 77786
Published: 21st May 2020
Last edited: 30th Jun 2020
Inclusion in quiz mode: Included

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