An 18-year-old male with no reported past medical history presented to an urgent care with atraumatic chest pain. The pain was intermittent, sharp, pleuritic, substernal, and non-radiating. It started two days prior after sneezing. Review of symptoms was negative, specifically denying cough or dyspnea. One week prior, he had mild rhinorrhea and dry cough, which resolved. The patient denied smoking or illicit drug use.
Vital signs were normal, including an oxygen saturation of 100% on room air. On examination, he appeared tall, thin, and acutely well. He was in no respiratory distress and lungs sounds were present, but slightly diminished bilaterally. There were no other remarkable examination findings. His chest X-ray was ordered (images attached) What could be the underlying cause of chest pain in this patient? *This case is from Docplexus editorial team for educative purpose only…
