Imaging Case of the Week 228 Answer

The frontal chest x-ray shows silhouetting of the right heart border.

pectus-excavatum-frontal-view

The lateral chest x-ray shows a pectus excavatum deformity of the sternum.

pectus-excavatum-lateral

Three causes of silhouetting of the right heart border:

  1. Right middle lobe consolidation.
  2. Right middle lobe collapse
  3. Pectus excavatum