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Severe chest pain in an elderly woman
  1. Ashish Chawla,
  2. Khin Yadanar Thein,
  3. Jaclyn Lau,
  4. Trishna Shimpi
  1. Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore, Singapore
  1. Correspondence to Dr Ashish Chawla Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore; ashchawla{at}

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Clinical introduction

A 73-year-old woman presented to the ED with non-radiating right sided chest pain, since 1 week. The pain was progressively worsening and was not associated with vomiting and there was no preceding history of trauma. She denied prior episode of chest pain. History was significant for hypertension, hyperlipidaemia and iron deficiency anaemia. There was no history of coughing or smoking. Physical examination and ECG were unremarkable. A frontal chest radiograph was obtained (figure 1).

Figure 1

Frontal chest radiograph.


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  • Contributors TS provided the case and revised the manuscript. AC prepared the initial manuscript, carried out the literature search and is the guarantor for the report. JL helped with images and edited the manuscript. KYT helped in editing the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.