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Dr. Andrew Rynne

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What Does US Showing Lower Rib Asymmetrically More Prominent Mean?

Hi I m 46 years old, female, with 58kg weight. 3 weeks ago I noticed a something protruding just below the bottom left rib. It is very obvious and clearly visible to the eye. The doctor did an exam and though she could clearly see it , she could not feel anything. I was sent to get a chest x-ray and an abdomen ultrasound. I have just received the report from these tests: Lungs, heart, and ribs are all clear. No focal lesions. However the ultrasound report states: The region of interest on the lower chest wall correlates with a lower rib chostochondral junction. No leasion is seen in this region. This is mildly asymmetrically more prominent compared with the right side of the same level. What does this mean? Do I need to be concerned? I m lost... Thank YOu
Tue, 31 Mar 2020
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Orthopaedic Surgeon 's  Response
Hello,

It looks that you are concerned with your sonographic report. You should ease your nerves. Your report says that there is mild asymmetry which means on left side your lower rib which is covered by fat and skin is slightly more bend then on right side. Best high is that you are not having any abnormality in your blood tests, it means that any other reasons like vitamin D deficiency, bone loss due to osteoporosis, any abnormal growth of bone is not there. It may be due to:
- Recent loss of weight
- Asymmetry due to normal anatomic variation in bone

You should be concerned if this asymmetry continue to increase or there is gradual or sudden appearance of pain at this location.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mukesh Tiwari, Orthopedic Surgeon
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What Does US Showing Lower Rib Asymmetrically More Prominent Mean?

Hello, It looks that you are concerned with your sonographic report. You should ease your nerves. Your report says that there is mild asymmetry which means on left side your lower rib which is covered by fat and skin is slightly more bend then on right side. Best high is that you are not having any abnormality in your blood tests, it means that any other reasons like vitamin D deficiency, bone loss due to osteoporosis, any abnormal growth of bone is not there. It may be due to: - Recent loss of weight - Asymmetry due to normal anatomic variation in bone You should be concerned if this asymmetry continue to increase or there is gradual or sudden appearance of pain at this location. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon