Pectus excavatum

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 25 years
Gender: Male
x-ray

Frontal view shows

  • blurring of right heart border

  • vertical orientation of anterior ribs (heart-shaped)

  • displacement of heart towards the left

Lateral view clearly shows pectus excavatum.

Faint pulmonary opacity at left middle zone.

ct

Atelectasis of superior segment of lingula.

Few ground glass opacities at the lateral part of anterior segment of left upper lobe, in keeping with infection.

Bilateral gynecomastia is noted.

Pectus excavatum.

Case Discussion

Radiographic appearances of pectus excavatum. It is a congenital chest wall deformity seen as concave depression of the sternum and can be symptomatic in some cases.

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