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Bilateral first rib fractures due to tardive dystonia

Chest radiograph showing bilateral first rib fractures (arrowed).

An X ray showing multiple old fractured ribs of the person's left side as marked by the oval.


AP chest radiograph: In the posterior and lateral arches of the 7th and 8th ribs, fractures can be seen. Besides the small amount of fluid in the chest on the left side, total collapse of the left lung can be observed (hemo-pneumothorax) (arrows).

Healed rib fracture

Findings of an excess localized thickening of the ribs indicates callous formation from an old healed rib fracture on the right. In this radiograph, the finding is made obvious by its posterior mid thoracic position on the right. Nondisplaced recent rib fractures which have not yet formed callous may be considerably more difficult to diagnose, particularly if they lie in the anterior ribs or laterally where the x-ray beam image is at a grazing angle. Other causes of increased calcific density may include fibrous dysplasias, osteomas and other more generalized pathologic processes