1. Adolescent With Chest Pain and Dyspnea
Luis Gorospe, MD, Inmaculada Mota-Goitia, MD, Nicolás A. Almeida-Aróstegui, MD, Gemma M. Muñoz-Molina, MD, Alberto Cabañero- Sánchez, MD, David Saldaña-Garrido, MD, Nicolás Moreno-Mata, MD 
Annals of Emergency Medicine 
Volume 72, Issue 4, (October 2018)
DOI: /j.annemergmed
Copyright © 2018 American College of Emergency Physicians Terms and Conditions

2. Figure 1
Chest radiograph (posterior-anterior view) showing an apparent elevation of the right hemidiaphragm (later confirmed to represent a subpulmonary pleural hemorrhagic effusion) (white arrows), as well as a questionable mass in the right lower hemithorax (black arrows).
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2018 American College of Emergency Physicians Terms and Conditions

3. Figure 2
Thoracic CT (axial view) showing a large hypervascular mass (M) occupying the right posterior costophrenic angle and extending into the spinal canal (black asterisk) through the T11 to T12 intervertebral foramen. Note the presence of high-attenuation fluid (f) surrounding the hypervascular mass, representing the hemothorax.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2018 American College of Emergency Physicians Terms and Conditions

4. Figure 3
T1-weighted gadolinium-enhanced MRI (axial view) demonstrating the pleural effusion (f) and the well-demarcated mass (M) extending into the spinal canal (asterisk) and displacing the spinal cord.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2018 American College of Emergency Physicians Terms and Conditions