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A 45-year-old man presents with “asthma-like symptoms” that he says have “come and gone” for several years. He denies chest pain or a sense of racing heartbeat. A chest deformity is clear from observation.

View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

45-Year-Old with Chest Deformity
A 45-Year-Old with Chest Deformity