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hange in attenuation threshold signifying the need for additional imaging from 20 HU to 30 HU proposed by the Bosniak Classification v.2019 is supported.BACKGROUND. Costochondral junction (CCJ) rib fractures pose a challenge in the radiographic detection and dating of infant abuse. OBJECTIVE. To assess the temporal pattern of radiographic findings of CCJ fractures on serial skeletal surveys (SSs). METHODS. Reports of SSs performed for suspected infant abuse were reviewed to identify those reporting a CCJ fracture. Study inclusion