Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Etiology/Pathophysiology:
Not applicable
Pathology:
Not applicable
Imaging Findings:
The anterior arc of a rib on a normally aligned film should be
directed downward, below the normally horizontal posterior rib. If
the x-ray tube is angled cephalad or if the infant is not lying flat,
a lordotic film is obtained. This results in the anterior arc of the
rib projecting cephalad above the posterior rib. In severe lordotic
distortion the ribs can appear dysplastic, the lung volumes
decreased, the cardiac silhouette may have an elevated apex and
appear enlarged, and the central portions of the diaphragm may appear
elevated, simulating a diaphragmatic hernia.
A normal appearing lateral view taken at
the same time of the frontal view will confirm the lordotic nature of
the frontal film.
DDX:
References:
See References Chapter.
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