Rib fracture following trauma

Case contributed by Vineet Prakash
Diagnosis almost certain

Presentation

Fall from pushbike onto his left side. Pain and shortness of breath. Unable to take a deep breath.

Patient Data

Age: 60 years
Gender: Male
x-ray

There appears to be a step in the left 7th lateral anterior rib suggestive of a fracture.

Incidental note is made of a bifid 5th anterior right rib.

Normal cardiomediastinal contour.

Lungs and pleural spaces appear clear.

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