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CT findings on second presentation: CT images of the chest, processed in bone algorithm, reconstructed with MPR (Multiplanar reconstruction) in (a) sagittal, (b) transverse and (c) dorsal planes. Sclerosis, thickening, remodelling and irregular periosteal reaction involving the VII and VIII ribs. The involved ribs (arrows) are the ones located in the vicinity of the pleural and pulmonary changes
