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Behind the knife, the Surgery Podcast, where we take a behind the scenes intimate look at surgery

from leaders in the field.

Hello, we're the thoracic surgery team from Swedish Medical Center in Seattle,

and Megan Lennahan, one of the third-year residents.

I'm Peter White, one of the attending thoracic surgeons,

and I'm Brian Louie, one of the other attending thoracic surgeons.

We're going to jump right in with our first case.

This patient is an 18-year-old male who presented to the emergency department

with pluritic, right-sided chest pain that started while he was playing basketball.

He had no respiratory distress and was saturating normally on room air with normal vital signs.

The emergency department obtained a chest x-ray that showed a two-centimeter separation between

the chest wall and lung apex.

This is just a classic case presentation.

We have a young athletic, likely tall since he was playing basketball.

A male was sudden onset of chest pain with deep inspiration.

Before you even hear about the rest of the case, you're already thinking

...