5 week old girl with failure to thrive. 

Skull fractures, posterior rib fractures left 4th, 5h, 9th, 10th, and 11th ribs some with callus formation. 

Metaphyseal corner fractures of the bilateral femurs and tibias, bucket-handle fracture of right distal tibia. Left distal humerus corner fracture, possible additional fracture in left distal radius.