CXR Case 127

A 34 year old lady presents following a mechanical fall onto pavement. She presents to ED complaining of left sided chest pain.

CXR CASE 127 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There are rib fractures of the 7th and 8th ribs posteriorly on the left side. There is a healed / healing fracture of the right 5th rib.

On the lateral aspect of the left upper zone there is a rounded partially calcified lesion in continuity with the 2nd rib.

Bilateral nipple shadows. Clear pleura and lung parenchyma.


CLINICAL CORRELATION

This lady has fibrodysplasia ossificans progressiva.

Multiple low trauma rib fractures might suggest an underlying connective tissue disorder.
The odd lesion in the left upper zone is likely heterotropic ossification after trauma.


CLINICAL PEARLS

Fibrodysplasia ossificans is a very rare heritable disorder characterized by congenital malformation of the great toes, heterotropic ossification and sometimes progressive chest wall deformity with kyphoscoliosis and ventilatory failure causing type II respiratory failure.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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