ABSTRACT
A 14-year-old boy is brought to the emergency department (ED) with complaints of coughing up blood and left-sided chest pain for several weeks. He had been seen in an ED 12 days earlier with the complaint of left-sided chest pain, a nonproductive cough, and feeling warm. The pain was made worse with movement and leaning forward. He had a temperature of 38.5°C and a respiratory rate of 20. A chest radiograph was done during the previous ED encounter showing left lower lobe subsegmental atelectasis (see Images 196.1 and 196.2). He was discharged home with instructions to follow-up with his primary care physician and to return to the ED if his symptoms worsened.
