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A 39-year-old otherwise healthy female with acute chest pain
  1. Firdaus A A Mohamed Hoesein1,
  2. Martin Swaans2,
  3. H Wouter van Es1
  1. 1Department of Radiology, St Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands
  2. 2Department of Cardiology, St Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands
  1. Correspondence to Dr Firdaus A A Mohamed Hoesein, Department of Radiology, St Antonius Hospital Nieuwegein, Koekoekslaan 1, Nieuwegein 3430 EM, The Netherlands; fmohamedhoesein{at}gmail.com

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Clinical introduction

An otherwise healthy 39-year-old female visited our emergency department because of acute chest pain worsening on breathing. The pain was more prominent on the left side of the thorax. Physical examination, routine laboratory testing and the ECG were normal. Troponin and d-dimer were in the normal range. Routine chest radiography and subsequently chest CT were performed (figure 1).

Figure 1

Posterior-anterior and lateral chest X-ray and chest CT axial slice.

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