Even first year residents are familiar with right-sided aortic arch, azygos lobe and accessory ossification centres. Over time, one encounters a whole array of normal variants and learns to interpret them as such. Of course, one can only identify what one has learnt to see and there is a large spectrum of slight developmental abnormalities, which should not be misdiagnosed as abnormality in need of further imaging, invasive diagnostic procedures or treatment. On the other hand, some developmental disorders have clinical significance and you could be the first to advise the patient.
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