Presentation
Lung cancer. SOB.
Patient Data
Age: 80 years
Gender: Male
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The right posterior 5th rib is absent.
Heart size normal. Lungs clear.
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Multiple rib metastases, the largest in the right 5th rib.
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When compared to the same patient 3 years earlier it shows the absence of the right 5th rib strikingly.
Case Discussion
It can be harder to identify the absence of something normal rather than presence of something abnormal.
This example of a large rib metastasis illustrates the case.
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