Hyperactive Child With Chest Pain

A previously healthy 9-year-old boy with a diagnosis of attention deficit and hyperactivity disorder presented to the emergency department with a 1-hour history of chest pain and dysphagia. On physical examination, he could swallow and manage his secretions. He had no reproducible chest pain, and his breath sounds were clear bilaterally. Chest radiograph was obtained (Figures 1 and 2).

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