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Eur J Cardiothorac Surg 2005;27:1113
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Intrathoracic rib: multidetector computed tomography demonstration

Omer Onbas*, Fatih Alper, Mecit Kantarci, Yalcin Celebi

Department of Radiology, School of Medicine, Atatürk University, Erzurum, Turkey

Received 25 December 2004; received in revised form 17 February 2005; accepted 21 February 2005.

* Corresponding author. Address: Terminal mah. Somunoglu cad, Esatpasa Apt B Blok No: 3/7, Erzurum, Turkey. Tel.: +90 442 235 7008 (home)/236 1212 1521 (work); fax: +90 442 236 1301. (E-mail: oonbas{at}hotmail.com).

Key Words: Intrathoracic rib • Multidetector CT

A 62-year-old man was admitted with shortness of breath and pleuritic chest pain. MDCT showed a ribbon-like corticated bony structure extending inward from the rib. Intrathoracic rib results from an incomplete fusion between component halves of adjacent sclerotomes during embryogenesis. It is an asymptomatic condition that is usually incidental finding (Figs. 1 and 2).



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  		Fig. 1. Unenhanced MDCT scan shows a right side intrathoracic rib (arrow) which has cortical margins and bilateral pleural effusion because he had a history of chronic renal failure.

 



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  		Fig. 2. Volume rendered 3D CT (Aquilon scanner Toshiba Medical Systems, Tokyo, Japan) image on foot oblique position shows intrathoracic rib (black arrows) arising from third rib (white arrow) in the right hemithorax and vertebral scoliosis.

 




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