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March 2002, Vol 137, No. 3 >
Special Feature | March 2002

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William Brinkman, MD; Alan B. Lumsden, MD; Peter H. Lin, MD
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Section Editor: Grace S Rozycki, MD

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

Figure 1.
Grahic Jump Location
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Figure 2.
Grahic Jump Location
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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).

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