Presentation
Fever and cough
Patient Data
Age: 5 months
From the case:
Rachitic rosary
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Bilateral upper lobar posterior segmental air-space consolidations (pneumonic).
Expansion of the anterior rib ends at the costochondral junctions (rachitic rosary).
Widening, cupping and fraying of the metaphyseal ends of the examined long bones.
Case Discussion
Rachitic rosary refers to expansion of the anterior rib ends at the costochondral junctions and is most frequently seen in rickets as nodularity at the costochondral junctions.