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© 2008 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 27:1083-1086 • 0278-4297

Case Series

Sonography for Diagnosis of Cervical Ribs in Children

Vaibhav H. Mangrulkar, MD, Harris L. Cohen, MD and Douglas Dougherty, MD, PhD

Department of Radiology, Stony Brook Medical Center, Stony Brook, New York USA.

Address correspondence to Harris L. Cohen, MD, 78 Grove Ave, Cedarhurst, NY 11516-2311 USA. E-mail: hcohenmb{at}optonline.net

Objective. The purpose of this series was to describe the use of sonography for diagnosis of cervical ribs in children. Methods. Two children had hard nonmobile supraclavicular masses that were of clinical concern for malignancy. Both children were first evaluated by sonography. Results. Sonography showed each mass to be a tubular bony structure with a cartilaginous end. They were thought to represent cervical ribs. This anatomic variant was subsequently confirmed with radiography in 1 case and computed tomography in the other. Conclusions. Musculoskeletal sonography may offer a reliable method for diagnosing cervical ribs without the need for ionizing radiation.

Key Words: cervical rib • musculoskeletal sonography • pediatric sonography

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