3.5 y/o/boy having firm bony swelling in the middle of the chest.No significant complaints.What could be the Differentials ???

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Pigeon chest,with Harrisons sulcus

Pigeon chest( pectus carinatum). CHD unlikely bcaj pictures showing typical midline bulge of sternum n groove like depressions at lower chest.

yes sir no murmur heard while cvs examination
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pectus carinatam

may b congenital heart problem or calcium deficiency?

Pectus Carinatum,

must go for ct or MRI

pectus carinatum Normal

ricketic changes or structural defect

Pectus carinatum, it's normal.

any history of trauma..??

no significant history nor complaint
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