The patient is an 18-year-old male who presents to urgent care complaining of 1-day history of intermittent shortness of breath, as well as a sore throat. He reports that he woke up with “chest tightness” and “discomfort.” He is unable to take a deep breath.

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

An 18-Year-Old Male with Shortness of Breath and ‘Tightness’ in His Chest
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