Adolescent With Chest Pain and Dyspnea

A previously healthy 13-year-old male adolescent presented to our hospital, complaining of intense chest pain and dyspnea after a bout of coughing. On examination, his vital signs were normal, but there were decreased sounds in the right hemithorax. A chest radiograph showed an apparent elevation of the right hemidiaphragm and a possible thoracic mass (Figure 1). Emergency thoracic computed tomography (CT) (Figure 2) and magnetic resonance imaging (MRI) (Figure 3) were performed, and the patient underwent thoracic surgery the following day.

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