Imaging is extremely important in the evaluation of a patient presenting PE. The image above is a CT scan highlighting the measurements taken while calculating a Haller index. The Haller index is used to assess the severity of the Pectus Excavatum. The blue line represents the “anteroposterior distance,” or how close the back of the sternum is to the front of the spinal column. When the transverse chest wall distance (RED line) is divided by the AP (BLUE line), you get your Haller. The greater the ratio, the more severe the Pectus Excavatum. If your Haller is > 3.2, it has been accepted that yours is considered severe and will qualify for surgery. CTs are also crucial for showing chest asymmetry, which is valuable to your surgeon for operative planning.
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ALBERT EINTSTEIN
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