Chest Concerns: What Does a Hollow Spot Indicate?

A depression or indentation?

I recently experienced some discomfort due to a cold but didn't seek medical attention.
After some time, I felt better.
However, I've noticed occasional strange sensations in my chest, and the lower edges of my ribs have become more pronounced, resembling a rounded "W" shape and slightly protruding.
I initially thought it was due to weight loss, but my weight hasn't changed.
The lower rib edges are more prominent than in the reference image, and the triangular area below the xiphoid process is smaller and more concave.
When I inhale, it becomes even more concave.
I have a stocky build, and previously my abdomen and lower belly were also plump, but now the upper body has become noticeably ribbed.
When I inhale, the triangular area below the xiphoid process visibly sinks in, creating a noticeable indentation.
Previously, I would occasionally feel pain when inhaling, but that has since resolved.
I would like to know if there could be any underlying issues related to this condition and what kind of examinations I should undergo.
Thank you.

Niming, 20~29 year old female. Ask Date: 2016/01/27

Dr. Jian Shuntian reply Pulmonology

Please consult a pulmonologist for an examination, as it is necessary to see the actual condition in order to make a proper assessment.
Thank you.
Sincerely, Jian Shun Tian.

Reply Date: 2016/01/27

More Info

When it comes to concerns regarding chest discomfort and the appearance of a hollow spot in the chest area, it is essential to approach the situation with a comprehensive understanding of potential underlying conditions. Your description of the changes in your ribcage, particularly the prominence of the lower ribs and the hollowing beneath the sternum (the xiphoid process), raises several considerations.

Firstly, the hollowing you describe could be related to changes in body composition or posture. If you have experienced any weight loss, even if not reflected on the scale, it could be due to muscle loss or changes in fat distribution. This can sometimes happen without a significant change in overall body weight, especially if there has been a shift in physical activity levels or dietary habits. Additionally, if you have been more sedentary due to illness or discomfort, this could contribute to muscle atrophy, particularly in the abdominal and chest areas.

Another possibility is that the hollowing could be related to respiratory mechanics. When you inhale, the diaphragm contracts and moves downward, which can create a vacuum effect in the thoracic cavity. If there is any weakness in the abdominal wall or diaphragm, this could lead to more pronounced movements in the ribcage and the appearance of a hollow space. This is often seen in individuals with certain respiratory conditions or those who have developed poor breathing patterns.

Moreover, the discomfort you felt previously when inhaling could indicate a previous respiratory infection or inflammation that may have affected the pleura (the lining around the lungs) or the muscles involved in breathing. While you mentioned that the pain has subsided, it is still important to monitor any recurring symptoms, especially if they are accompanied by other signs such as shortness of breath, persistent cough, or changes in your ability to perform daily activities.

Given your concerns, it would be prudent to consult with a healthcare professional who can perform a thorough physical examination and possibly recommend imaging studies such as a chest X-ray or CT scan. These tests can help visualize the structures within your chest and identify any abnormalities, such as pleural effusion (fluid accumulation), lung issues, or structural changes in the ribcage.

In summary, while the hollow spot and changes in your ribcage may not indicate a serious condition, they warrant further investigation to rule out any underlying issues. It is essential to keep track of any additional symptoms you may experience and communicate these to your healthcare provider. Early intervention can often lead to better outcomes, especially if there are any underlying respiratory or musculoskeletal concerns that need to be addressed.

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