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A 58-year-old female with rheumatoid arthritis (RA), osteoarthritis of the bilateral knees, thoracic vertebral compression fractures, steroid-induced osteoporosis, and immune thrombocytopenia (ITP) presented with bilateral side chest pain. She had been treated with prednisolone for RA and ITP for 10 years. On her current visit, a chest roentgenogram revealed bilateral rib fractures and hump-like shadows. A chest computed tomography scan revealed multiple rib fractures accompanied by hematoma that pressed fractured ribs into the bilateral lungs. Regarding abnormal shadows on the chest roentgenogram, blood discharge from the fractured ribs formed the hematoma, causing the hump-like shadows

Bilateral Multiple Rib Fractures and Hump-Like Shadows on Chest Roentgenogram