8th and 9th rib convergance

Case contributed by Sophie Gregory
Diagnosis almost certain

Presentation

Two day history of chest pain, shortness of breath and cough.

Patient Data

Age: 20 years
Gender: Female
x-ray

Incidental finding of a congenital anomaly of bony fusion of the posterior aspect of the right 8th and 9th ribs with associated convergence of these ribs. No other bony abnormalities or fractures. Normal lung fields. No pneumothorax, pleural effusion or consolidation. Normal heart size. No cause for patient's symptoms found on these images.

Case Discussion

Bifid ribs are an uncommon anomaly, this case supports the current findings that they tend to occur on the right side and in women more commonly 1.

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