Incidental finding on chest x ray | Figure 1

Amby318

Internal Medicine

Incidental finding on chest x ray

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First rib?](https://app.figure1.com/case-detail/2fb7f6cc-ddb7-4280-93ab-768590d51d50)



Radiograph from a skeletal survey shows healing rib fractures (arrows). Distal humeral separation epiphyseal separation injury is associated with non-accidental trauma and birth trauma. Prior research has shown that up to 50% of distal humeral separation epiphyseal separation injuries in children under two years of age are associated with non-accidental trauma. The injury occurs due to rotatory or shear forces in the setting of non-accidental trauma. A skeletal survey should be performed if there is not an otherwise explainable mechanism for the injury.](https://app.figure1.com/case-detail/30d772f0-1b79-4055-9a11-2c653dd414b2)



Focused radiograph of the upper chest shows a cervical rib (arrow) leading to a bifid configuration of the first rib. Cervical ribs arise from the lower cervical vertebral bodies. The cervical vertebral bodies can be differentiated from the thoracic vertebral bodies by the direction of the transverse process. The transverse process of the thoracic vertebral body points upward while the transverse process of the cervical vertebral body points downward.](https://app.figure1.com/case-detail/525c2f00-b368-48e2-ab1a-99c155875d28)



18/M. Px was riding a motorycle and on a standstill, while another motorcyle hit his vehicle, causing px to swerve and twist his body to the right side. Px didn't fall, no noted head injuries. However he complains of pain on deep inspiration esp. on his right side. PE: stable VS, 98% o2 sat on room air. Equal chest expansion, clear breath sounds. Above photo shows T-cage xray. Any thoughts?](https://app.figure1.com/case-detail/70a7e080-78fb-4ec1-8984-28588e3d4e4e)

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A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)