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The patient is a 57-year-old man who reports to urgent care complaining of right-sided pain in his ribs when taking deep breaths. He reports that he worked out at his health club that morning before work, but denies any pain at the time or potential cause of injury related to that. Rather, he said the pain began suddenly a couple of hours later while he was at work.

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

A 57-Year-OId Man with Rib Pain with Deep Breathing