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History
  1. Small femoral head (disparity with chronological age)
  2. Pelvis Radiograph
  3. Central tongue-like projection (thicker than a beak)
  4. Abnormal spine radiograph
  5. Normal Bone Density
  6. Skeletal survey in a child
Consider Pseudoachondroplasia

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Thumbnail Name
Posterior costo-vertebral junction/ posterior rib cupping