PMC9649940_01
Frontal chest radiograph demonstrating a moderate left pleural effusion.
gr1.jpg
PMC9649940_01_gr1.jpg
fig0001
Ultrasound demonstrating a pleural effusion. The effusion appeared anechoic and simple.
gr2.jpg
PMC9649940_01_gr2.jpg
fig0002
CT Chest demonstrating a left hemothorax as well as a bone spur.
gr3.jpg
PMC9649940_01_gr3.jpg
fig0003
Best viewed on the sharp lung/bone reconstructions there was what appeared to be a bifid spur originating off of the left sixth rib, that measured approximately 1.0 centimeter in length, and which projected into the chest cavity in the region of the lung base and hemidiaphragm (Fig. 3).
3D reconstructions demonstrating a bifid rib spur on the left 6th rib. The involved rib has been segmented out on the second image.
gr4.jpg
PMC9649940_01_gr4.jpg
fig0004
This anomalous structure was particularly well appreciated on 3D reconstructions processed after the study (Fig. 4).
Video-assisted thoracoscopic surgery showing clotted blood on the anterior and inferior aspect of the lung, which was removed revealing the rib spur.
gr5.jpg
PMC9649940_01_gr5.jpg
fig0005
The bone spur was identified on the sixth rib and was removed successfully (Fig. 5).