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Costal Cartilage Fractures

Imaging findings

The patient, with a history of interstitial lung disease, presented with sudden, severe chest pain following a coughing spell. Imaging demonstrated multiple acute, contiguous costal cartilage fractures.

Key takeaways

Acute costal cartilage fractures can occur as a complication of forceful, repetitive coughing. Clinicians should consider this diagnosis in patients with severe respiratory illness presenting with localized, acute chest pain, even in the absence of blunt trauma.

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