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A recent identification had something similar in anthro findings. Randi Boothe-Wilson (then Jacksonville/Onslow County Jane Doe) appeared to have a bifurcated fifth rib which can cause different complications, but her missing case file never mentions an extra rib. She may have not known about it in life.Her spina bifida occulta may not have had any outward appearances or manifestations. This was discovered by a forensic anthro. after exhumation. The lack of fusion on the sacrum would be obvious when looking at the bone, but maybe not when she was alive or post-mortem at the time she was found.