On plain film, post-surgical median sternotomy complications include fractured sternal wires, loosening and migration of screws, hematoma and post-operative infection. Broken sternal sutures may migrate from the sternotomy site into other areas such as the pericardium and heart and be associated with pain and sternal dehiscence.

Computed tomography scans are beneficial in diagnosing deep sternal wound infections [5]. On CT, evidence of sternal osseous non-union, and sternal infections/abscess can be identified. Findings may be incidental on plain film or present as chest wall discomfort or chronic post sternotomy pain syndrome, requiring different imaging studies to confirm the diagnosis. Complications from median sternotomy can vary in severity, and imaging plays a crucial role in diagnosing and managing these complications.