A 14-year-old girl was admitted for investigation of the sudden onset of chest pain. She had no significant past medical or surgical history, did not use illicit drugs, and denied recent episodes of vomiting, coughing, or air travel. BP was 117/76 mm Hg; heart rate, 83 beats/min; respiratory rate, 16 breaths/min; axillary temperature, 36.9°C; and oxygen saturation, 95%.
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