Pectus Excavatum in Pediatrics — 14yo Child | General Pediatrics | SMLE Q#621

SMLE Question #621

Pediatrics General Pediatrics
Last updated: February 2026
A 14-year-old boy is brought to clinic for concerns about appearance and learning difficulties. He has mild developmental delay and poor school performance. He is tall and thin with pectus excavatum, low-set ears, a broad webbed neck, and widely spaced nipples. Pubertal development is otherwise appropriate for age. There is no history of congenital heart disease or limb anomalies. What is the most likely diagnosis?

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