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An 18-year-old woman with an elevated body mass index presents with a 3-day history of left sided pleuritic chest pain. This started suddenly and was described as stabbing in nature, worse on inspiration and radiating from the left anterior chest round to the left scapular area. She denied cough, haemoptysis, dyspnoea or leg swelling. She had no significant medical history and her only regular medication was the combined contraceptive pill.
On examination, she had saturations of 98% on air. She had vesicular breath sounds throughout both lung fields with equal air entry bilaterally. There was no chest wall tenderness and her calves were soft, non-tender and not swollen. Her cardiovascular examination was normal with a pulse of 80 bpm, normal …
Contributors PT devised the plan for the article and obtained patient consent. PT was the lead author in the writing of the manuscript. AW selected the appropriate images from the CT file. AW devised the style of the question and answers. LR edited the draft of the article and aided in the writing of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.