Subtle fracture at right 4th rib
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Fall from height (15 feet). Right femoral neck fracture. Bilateral pubic rami fractures.
X-Ray Chest A/P (Supine) View
Fracture with angulation at anterior end of right 4th rib, with mild displacement.
While rib fractures are a common association of trauma, and may often be life-threatening, it is quite easy to miss them on plain x-ray. In the present case, the fracture could easily be missed if the other fractures (femoral, pubic rami) did not prompt meticulous search.