Chest Radiography of Pediatric Ribs

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after February 10, 2026:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.00
Procedures: 1.00
Neck and Chest: 1.00

Magnetic Resonance Imaging: 1.00
Procedures: 1.00
Body: 1.00

Nuclear Medicine Technology: 0.50
Procedures: 0.50
Other Imaging Procedures: 0.50

Radiography: 2.75
Procedures: 2.75
Thorax and Abdomen Procedures: 2.75

Registered Radiologist Assistant: 2.75
Procedures: 2.75
Musculoskeletal and Endocrine Sections: 2.75

Outline

1. Introduction
2. Embryonal Development and Normal Anatomy of the Ribs
3. Congenital Anomalies of the Ribs
4. Focal Rib Abnormalities
   1. Nonaggressive Bone Lesions: Benign Tumors and Tumorlike Lesions
      1. Osteochondroma
      2. Enchondroma
      3. Fibrous Dysplasia
      4. Aneurysmal Bone Cyst
      5. Mesenchymal Hamartoma of the Chest Wall
      6. Tuberous Sclerosis Complex
   2. Aggressive Bone Lesions: Malignant Tumors
      1. Ewing Sarcoma Family of Tumors
      2. Osteosarcoma
      3. Neuroblastoma
      4. Lyphoma
      5. Langerhans Cell Histiocytosis
   3. Infectious and Inflammatory Disorders
      1. Osteomyelitis
      2. Infantile Cortical Hyperostosis
      3. Prostaglandin-Induced Cortical Hyperostosis
      4. Chronic Nonbacterial Osteomyelitis
5. Multifocal Rib Abnormalities
   1. Rib Notching and Rib Twisting
   2. Vanishing Ribs
   3. Multifocal Rib Fractures
   4. Rosary of the Costochondral Junction
6. Diffuse Rib Abnormalities
   1. Thin Ribs with Fractures
   2. Thin Ribs without Fracture
   3. Thick and/or Dense Ribs
   4. Short Ribs
   5. Coat-Hangar Ribs
   6. Diffusely Twisted Ribs
   7. Rib Gaps
7. Conclusion

Objectives

Upon completion of this course, students will:

1. be familiar with the term satisfaction of searchbe familiar with the anatomy of the rib
2. be familiar with the use of ultrasound to confirm a pediatric rib anomalybe familiar with Golin-Goltz syndrome
3. be familiar with the typical features of nonaggressive rib lesion on radiographs
4. be familiar with the where enchondromas in the ribs occur
5. identify the genetic mutation associated with dysplasia
6. be familiar with the location that ABCs are commonly found
7. identify the type of lesions characteristic of tuberous sclerosis complex
8. recognize the most common malignant tumor overall in the pediatric age group
9. be familiar with the malignancy included in the Ewing sarcoma family
10. be familiar with the peak age of onset for Ewing sarcoma family of tumors
11. be familiar with the MRI findings typically associated with the Ewing sarcoma family of tumors
12. identify the most common site of metastasis for osteosarcoma
13. be familiar with the typical imaging features of neuroblastoma on chest radiograph
14. identify with bones are most commonly affected by primary bone lymphoma
15. be familiar with the distinctive radiographic finding in LCH
16. be familiar with the pathogens associated with indolent forms of osteomyelitis of the rib
17. identify the most commonly affected bone in infantile cortical hyperostosis
18. be familiar with how prostaglandin-induces hyperostosis is diagnosed
19. identify the imaging modality best for demonstrating multifocal lesions to help confirm a diagnosis
20. be familiar with rib notching
21. be familiar with bones commonly affected by Gorham-Stout disease
22. be familiar with radiographic views that can help detect acute rib fractures
23. Identify the imaging technique for increasing sensitivity for detecting rib fractures in cases of nonaccidental injury
24. be familiar with the classic radiographic finding of scurvy at the costochondral junction
25. be familiar with coat hanger ribs
26. be familiar with diseases associated with gracile ribs
27. be familiar with the conditions associated with Camurati-Engelmann disease
28. be familiar with the bone dysplasia characterized by a narrow thorax and associated with severe shortening of the ribs
29. be familiar with Kagami-Ogata syndrome
30. be familia with Melnick-Needles syndrome
31. understand what rib gaps are
32. know when cross-sectional imaging may be required