Evaluation of chest radiograph findings in 200 children's below 5 years over a period of 10 months. We report two cases of segmentation anomaly, both are infants. 0ne of them had no other associated anomaly, only vertebral segmentation defect. Another one is a rare case with vertebral segmentation defects, ribs anomaly and associated dextrocardia which was presented on 20 days of her life with progressive respiratory insufficiency. The neonate had  multiple   left lower ribs agenesis and bifid rib of  right  first and second ribs, dorsal  left hemivertebrae in the mid and lower thoracic region with mild scoliosis of lateral convexity towards the right. Left hemidiaphragm is relatively elevated resulting in small thoracic volume and limited chest expansion; all consistent with a clinical diagnosis of Jarcho Levin syndrome with thoracic insufficiency. In addition, the neonate  had Cardiac outline  dearranged with apparent direction of cardiac apex towards the right side (Dextrocardia).The aim of this study was to evaluate  the findings of the  chest radiographs  after exposing the child patients  to the  halmful radiation , no doubt: X-rays  can be helpful, even life-saving. But sometimes, they're not necessary.

Aims and Objectives

To study the chest radiographs findings of children's under five years over a period of  10 months as  a Chest X-rays produce images of the heart, lungs, blood vessels, airways, and the bones of the chest and spine. Chest X-rays can also reveal fluid in or around the lungs or air surrounding a lung however repeated advice of x rays to a child patient should be limited as the kids are still growing, they're more sensitive to radiation.

Keywords:  Jarcho Levin syndrome, Dextocardia

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Dr Anju Devi Loukham

Assistant Professor, Radio-Diagnosis, JNIMS