A 25 year old man presents with left sided pleuritic chest pain and dyspnea of sudden onset, soon after exercise. His medical history is completely unremarkable. He regularly engages in sports, and smokes a couple of cigarettes every day.
There is a large left-sided pneumothorax, with tracheal deviation to the right.
D-Dimers are not elevated.
The ECG shows sinus tachycardia with no ischemic changes.
The CT Pulmonary Angiogram appears normal.