Radiology – MCQ 20 – Causes of rib notching in chest X-ray

Which of the following causes rib-notching in a chest radiograph?
A. Bidirectional Glenn shunt
B. Modified Blalock Taussig shunt
C. IVC occlusion
D. Coarctation of aorta

Correct answer : D. Coarctation of aorta

Causes of rib notching:

Superior rib notching
    Polio
    Restrictive lung disease
    Neurofibromatosis
    Connective tissue disease
    Osteogenesis imperfecta
    Hyperparathyroidism
Inferior rib notching
    Thrombosis of aorta
    Coarctation of arota
    Blalock Taussig shunt
    Occlusion of subclavian artery
    Pulmonary AV malformation