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Atypical intrathoracic rib in a pediatric patient requiring helical CT scan with 3-D reconstruction for diagnosis

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Abstract

Intrathoracic rib is a rare congenital anomaly that is usually discovered incidentally. It represents a benign lesion but can mimic intrathoracic pathology, so it is important to recognize it to prevent further unnecessary investigation or intervention. Typically, the classic appearance allows diagnosis with confidence on the chest radiograph alone; however, an atypical appearance of an intrathoracic rib might limit the diagnostic capabilities of plain radiography, warranting further imaging with newer technologies. We report the case of an atypical presentation of an intrathoracic rib in an 8-year-old girl where radiographs were inconclusive and helical CT scan with 3-D reconstructions were required for a definitive diagnosis.

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References

  1. Lutz P (1947) Über eine ungewöhnliche Rippenanomalie zugleich ein Beitrag zur distalen Rippengabelung. Wien Klin Wochenschr 59:846–849

    CAS  PubMed  Google Scholar 

  2. Laufer L, Schulman H, Hertzanu Y (1999) Intrathoracic rib demonstrated by helical CT with three-dimensional reconstruction. Eur Radiol 9:60–61

    Article  PubMed  CAS  Google Scholar 

  3. Trigaux JP, Sibille Y, vanBeers B (1990) Intrathoracic rib: CT features. J Comput Assist Tomogr 14:133–135

    Article  PubMed  CAS  Google Scholar 

  4. Peterson MS, Plunkett MB (1993) Demonstration of an endothoracic rib (letter). AJR 160:895

    PubMed  CAS  Google Scholar 

  5. Branch S, Rogers JM, Brownie CF et al (1996) Supernumerary lumbar rib: manifestation of basic alteration in embryonic development of ribs. J Appl Toxicol 16:115–119

    Article  PubMed  CAS  Google Scholar 

  6. Hawass N, Bahakim H, Al-Boukai AA (1991) Intrathoracic fat. A new CT feature of intrathoracic rib. Clin Imaging 15:31–34

    Article  PubMed  CAS  Google Scholar 

  7. Fleming PJ, Muller NL, Bryan MH et al (1979) The effects of abdominal loading on rib cage distortion in premature infants. Pediatrics 64:425–428

    PubMed  CAS  Google Scholar 

  8. Kamano H, Ishihama T, Ishihama H et al (2006) Bifid intrathoracic rib: a case report and classification of intrathoracic ribs. Intern Med 45:627–630

    Article  PubMed  Google Scholar 

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Acknowledgement

We thank Dr. Nigel Dore for providing clinical details and chest X-rays and Ms. Debbie Watson for providing 3-D reconstructions and radiographic technique.

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Author notes

  1. Alistair G. Wilkinson

    Present address: Department of Medical Imaging, Royal Hospital for Sick Children, Edinburgh, UK

Authors and Affiliations

  1. Department of Medical Imaging, The Royal Children’s Hospital, Herston Road, Herston, Queensland, Australia, 4029

    Trevor W. Watkins, Alistair G. Wilkinson & Mary-Louise C. Greer

Authors
  1. Trevor W. Watkins
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  2. Alistair G. Wilkinson
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  3. Mary-Louise C. Greer
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Correspondence to Mary-Louise C. Greer.

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Watkins, T.W., Wilkinson, A.G. & Greer, ML.C. Atypical intrathoracic rib in a pediatric patient requiring helical CT scan with 3-D reconstruction for diagnosis. Pediatr Radiol 38, 1003–1005 (2008). https://doi.org/10.1007/s00247-008-0881-2

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  • DOI: https://doi.org/10.1007/s00247-008-0881-2

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