A 24-year-old female presented with a recent onset of left sided pleuritic chest pain especially when lying on her left side, causing disturbance in her sleep and daily activities. She was an enthusiastic athlete and was keen to get back to her cycling training. She had no history of trauma, and never smoked cigarettes. Apart from asthma, she did not have significant co-morbidities. She was investigated in 2012 for cervical lymphadenopathy. Fine needle aspiration of the lymph node raised the possibility of granulomatous inflammation. On clinical examination there was no swelling over the chest wall. The lung fields were resonant and clear. Her routine laboratory test results and spirometry were normal.
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Published online: June 27, 2016
Accepted: April 30, 2016
Received in revised form: April 26, 2016
Received: March 13, 2016
© 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.