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                Figure 3. Magnetic Resonance Angiogram with elevation of the arms in a patient with DNTOS. There is bilateral compression off the
                subclavian-innominate junction (arrows). DNTOS: Disputed neurogenic thoracic outlet syndrome.



































                Figure 4. Resected “offending” portion of the right first rib showing a tubercle (arrow) and abnormal costo-sternal joint corresponding to
                the extrinsic compression seen in Figure 3.


               at the midaxillary line in the right chest. Incision #2 is made in the 4th IC space at the anterior axillary line.
               Incision #3 is made in the 4th IC space at the posterior axillary line. In the Left Chest, the port placement is
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