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BACKGROUND
A 51-year-old man presents to the vascular surgery clinic for repair of an iliac artery aneurysm that was incidentally discovered on abdominal and pelvic CT (image to follow). The patient did not have previous trauma that required surgical intervention. Review of the rest of his medical history is temporarily postponed.
On physical examination, the patient's vital signs are normal. In terms of general appearance, the patient is a well-developed, well-nourished, tall, and thin man. Respiratory examination yields normal findings, but the chest examination reveals a tall, narrow thorax with outward protrusion of the chest wall. Abdominal findings are normal. Musculoskeletal examination reveals long, thin fingers and toes. The patient has good (2+) pulses in the bilateral dorsalis pedis and posterior tibial arteries. Chest radiography is performed as part of the routine preoperative evaluation (see Images 1-2).
What is the diagnosis?
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Hint
The skeletal findings are the key clues to this case. |
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Author:
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Adam W. Chandler, MD,
University of New Mexico Hospital Residency,
Department of Radiology, Albuquerque
Gautam Dehadrai, MD,
Department of Radiology,
Norman Regional
Hospital,
Norman, Okla
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eMedicine Editor:
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Rick G. Kulkarni, MD,
Assistant Professor,
Yale School of
Medicine,
Section of Emergency Medicine,
Department of
Surgery,
Attending Physician,
Medical Director,
Department
of Emergency Services,
Yale-New Haven Hospital, Conn
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