Commonly occurring normal variations of anterior chest wall that may be mistaken for pathology
Usually due to variant morphologies of otherwise normal costal cartilages, ribs, &/or sternum
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Aboughalia HA et al: Pediatric rib pathologies: clinicoimaging scenarios and approach to diagnosis. Pediatr Radiol. 51(10):1783-97, 2021
Jain R et al: Ultrasonography in the evaluation of pediatric chest "masses": when to consider? J Ultrasound Med. ePub, 2021
Talbot BS et al: Traumatic rib injury: patterns, imaging pitfalls, complications, and treatment. Radiographics. 37(2):628-51, 2017
Mak SM et al: Imaging of congenital chest wall deformities. Br J Radiol. 89(1061):20150595, 2016
Manson DE: Magnetic resonance imaging of the mediastinum, chest wall and pleura in children. Pediatr Radiol. 46(6):902-15, 2016
Kryger M et al: Bifid rib - usefulness of chest ultrasound. A case report. J Ultrason. 13(55):446-50, 2013
Kaneko H et al: Isolated bifid rib: clinical and radiological findings in children. Pediatr Int. 54(6):820-3, 2012
Calloway EH et al: Three-dimensional computed tomography for evaluation and management of children with complex chest wall anomalies: useful information or just pretty pictures? J Pediatr Surg. 46(4):640-7, 2011
Donnelly LF: Use of three-dimensional reconstructed helical CT images in recognition and communication of chest wall anomalies in children. AJR Am J Roentgenol. 177(2):441-5, 2001
Donnelly LF et al: Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 173(6):1595-601, 1999
Donnelly LF et al: Anterior chest wall: frequency of anatomic variations in children. Radiology. 212(3):837-40, 1999
Donnelly LF et al: Asymptomatic, palpable, anterior chest wall lesions in children: is cross-sectional imaging necessary? Radiology. 202(3):829-31, 1997
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KEY FACTS
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TERMINOLOGY
Definitions
Commonly occurring normal variations of anterior chest wall that may be mistaken for pathology
Usually due to variant morphologies of otherwise normal costal cartilages, ribs, &/or sternum
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Aboughalia HA et al: Pediatric rib pathologies: clinicoimaging scenarios and approach to diagnosis. Pediatr Radiol. 51(10):1783-97, 2021
Jain R et al: Ultrasonography in the evaluation of pediatric chest "masses": when to consider? J Ultrasound Med. ePub, 2021
Talbot BS et al: Traumatic rib injury: patterns, imaging pitfalls, complications, and treatment. Radiographics. 37(2):628-51, 2017
Mak SM et al: Imaging of congenital chest wall deformities. Br J Radiol. 89(1061):20150595, 2016
Manson DE: Magnetic resonance imaging of the mediastinum, chest wall and pleura in children. Pediatr Radiol. 46(6):902-15, 2016
Kryger M et al: Bifid rib - usefulness of chest ultrasound. A case report. J Ultrason. 13(55):446-50, 2013
Kaneko H et al: Isolated bifid rib: clinical and radiological findings in children. Pediatr Int. 54(6):820-3, 2012
Calloway EH et al: Three-dimensional computed tomography for evaluation and management of children with complex chest wall anomalies: useful information or just pretty pictures? J Pediatr Surg. 46(4):640-7, 2011
Donnelly LF: Use of three-dimensional reconstructed helical CT images in recognition and communication of chest wall anomalies in children. AJR Am J Roentgenol. 177(2):441-5, 2001
Donnelly LF et al: Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 173(6):1595-601, 1999
Donnelly LF et al: Anterior chest wall: frequency of anatomic variations in children. Radiology. 212(3):837-40, 1999
Donnelly LF et al: Asymptomatic, palpable, anterior chest wall lesions in children: is cross-sectional imaging necessary? Radiology. 202(3):829-31, 1997
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