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Special Feature
March 2002

Image of the Month

Author Affiliations

From the Department of Surgery, Emory University School of Medicine, Atlanta, Ga. Drs Lumsden and Lin are now with the Department of Surgery, Baylor College of Medicine, Houston, Tex.



Arch Surg. 2002;137(3):359-360. doi:

AN OTHERWISE healthy 16-year-old high school student had a 6-month history of decreased exercise tolerance. Significant findings on physical examination included a depressed sternum with posterior chest wall displacement. The patient had poor chest wall expansion with deep inspiration. A computed tomographic scan of the chest (Figure 1) and a chest radiograph (Figure 2) are shown.

What Is the Diagnosis?

A.Pectus carinatum

B.Pectus excavatum

C.Sternal clefts

D.Congenital absence of the pectoris major muscle

Corresponding author and reprints: Peter H. Lin, MD, Divison of Vascular Surgery, Baylor College of Medicine, Houston VAMC (112), 2002 Holcomb Blvd, Houston, TX 77030 (e-mail: plin@bcm.tmc.edu).