Case of chest pain in a young man

Abstract

A young man with a history of smoking presented with acute-onset chest pain after lifting weights. He also noticed a change in his voice, tightness in his neck and difficulty breathing. A chest radiograph showed soft tissue emphysema in the neck. A CT scan of the chest revealed moderate amount of pneumomediastinum tracking into the neck and down to the diaphragm. He was haemodynamically stable and had no hypoxia or dysphagia. He was monitored for 48 hours and discharged home after resolution of his symptoms. A chest radiograph repeated after 6 weeks was normal.

Mediastinal lipoma as a cause of dyspnea

“…Primary pulmonary diseases can have atypical presentations [1,2]. Lung cancer is the leading cause of cancer related mortality worldwide [[3], [4], [5]].…”

Pulmonary synovial sarcoma

“…Primary pulmonary diseases can have atypical presentations [ 1 , 2 ]. Lung cancer is the leading cause of cancer related mortality worldwide [ 3 , 4 ].…”

Navigational Bronchoscopy Experience in a Small Community Hospital

“…Lung cancer is the leading cause of cancer related mortality worldwide [1][2][3][4][5]. The data from the US National Lung Screening Trial (NLST) showed annual low-dose computed tomography (LDCT) for lung cancer screening in the high-risk population reduced lung cancer mortality by 20% compared with a chest x-ray (CXR) [6].…”