Heart shaped ribs of pectus excavatum

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 45 years
Gender: Male

Heart size normal.  Lungs clear.

Sharply angulated anterior ribs and horizontal posterior ribs giving a heart-shaped appearance.

Case Discussion

The steeply vertical anterior ribs and horizontal posterior ribs give a heart-shaped appearance typical of pectus excavatum.

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