Pneumomediastinum with No Pneumothorax

Mr. J.V. is a 28-year-old white male who presented to urgent are with a six-hour history of chest pain described as pressure in the sternal area radiating to the left shoulder; back pain was a 5/10 at time of visit, and constant with no accompanying nausea, dizziness, vomiting, or diaphoresis. The patient described an inability to breathe deeply and a sensation of water stuck in the mid esophagus when drinking. Of note, he had similar …

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