A 28-year-old male bartender presented to the acute medical unit with pleuritic chest pain and breathlessness, which came on at rest. He had no significant past medical history. He had a 14-pack year smoking history, and continued to smoke. He took no recreational drugs and was taking no medication. He consumed 20 units of alcohol per week.
His temperature, pulse, and blood pressure were all normal. His respiratory rate was 22 breaths per minute and oxygen saturation 95% on air. Clinical examination demonstrated decreased breath sounds over the right side of his chest.
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