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A previously fit and well 26-year-old female subject presented to emergency medicine with acute shortness of breath, the day after attempting to swim the English Channel. The breathlessness, which was worse lying flat, had come on 4 h after finishing the swim, and was associated with a cough productive of pink sputum.
She had …
Contributors VN and HM both assessed the patient in emergency medicine, and jointly wrote the manuscript. There are no other contributors.
Competing interests None.
Patient consent Obtained.
Ethics approval Not a study but a case report with images which are presented for publication with patient consent.
Provenance and peer review Not commissioned; internally peer reviewed.