He had a fractured ninth left anterior rib and the tenth, eleventh and twelfth ribs were absent, which was thought to be a congenital anomaly. Several months later, he presented again with back ...

A CT chest/abdomen/pelvis showed an anterior mediastinal mass, multiple liver lesions, lytic and blastic lesion of the left 12th rib and multiple lytic lesions of the thoracic and sacral vertebrae.