Wednesday, January 18, 2017

Costochondral Calcification Seen On Chest X-Ray

A 64 years old male came to radiology department for X-ray chest with history of cough and cold.

The X- Ray is shown below:


1. Describe the radiological signs in the above given X ray?

Answer: X-ray chest shows normal lung fields with normal cardiac configuration. Calcification of upper and lower margins of costal cartilages is seen.

2. Comment and Explain the calcification of the costal cartilages?


Answer: Calcification of upper and lower margins of costal cartilages is seen in male (picture comparion given below) However, in females the calcification of costal cartilages is seen as solid tongue like protrusion with beak towards the sternum.

3. Give your opinion on the X ray?

Answer: X-ray chest is normal in appearance. The pattern of calcification of costal
cartilages seen is specific for males.

Clinical Discussion: Costochondral calcifications may be seen above the age of 20 years in
male and 16 years in female. They are marginal in males and central in females. The configuration of costal cartilage calcification helps to determine the sex. This information can be of use in medical jurisprudence.

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