16-year-old male presents with right-sided chest pain.  The patient was watching TV when he developed sudden onset of right-sided chest pain.  His pain was worsened with movement and inspiration.  His vitals revealed a pulse of 101, RR of 18, pulse Ox of 100% and he was afebrile.  His PMH is unremarkable.  Physical exam reveals bilateral and equal breath sounds without whezzing, rales, or rhonchi.  You perform a focused ultrasound of his chest and find…

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