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Nodular prominence of the costochondral junctions bilaterally.
Prominence of the costochondral junction can be seen in a number of conditions:
- rickets: Nodularity at costochondral junction (rachitic rosary)
- scurvy: The costochondral junction is more angular and has a sharper step-off (scorbutic rosary). The sternum is usually found to be depressed.
Appearances in this case most likely represent rickets.