@article{3102577, title = "A 27-Year-Old Man With Intermittent Chest Pain During the Last 4 Years", author = "Pappas, A.G. and Dede, K. and Kallimani, A. and Psaroudaki, Z. and Argyropoulou, A. and Athanassiadi, K. and Kalomenidis, I.", journal = "Chest", year = "2021", volume = "159", number = "4", pages = "e209-e214", publisher = "HANLEY & BELFUS-ELSEVIER INC", issn = "0012-3692, 1931-3543", doi = "10.1016/j.chest.2020.11.057", keywords = "albendazole, abnormal respiratory sound; adult; Article; blood cell count; case report; clinical article; disease classification; disease duration; dyspnea; emergency care; Eritrea; exercise intensity; hematothorax; human; lung auscultation; lung hydatid cyst; male; platelet count; pleura effusion; thoracocentesis; thoracotomy; thorax pain; thorax radiography; animal; biopsy; complication; Echinococcus; echography; follow up; isolation and purification; lung hydatid cyst; thorax pain; time factor; x-ray computed tomography, Adult; Animals; Biopsy; Chest Pain; Echinococcosis, Pulmonary; Echinococcus; Follow-Up Studies; Humans; Male; Radiography, Thoracic; Thoracentesis; Time Factors; Tomography, X-Ray Computed; Ultrasonography", abstract = "Case Presentation: A 27-year-old man from Eritrea presented to the ED complaining about a progressively worse blunt chest pain in the anterior right hemithorax. Chest pain started 4 years ago and was intermittent. During the last 6 months, symptoms got worse, and the patient experienced shortness of breath in mild exercise. For this purpose, he visited another institution, where a chest radiograph was performed (Fig 1). He was advised to visit a pulmonologist for further evaluation, with the diagnosis of a loculated pleural effusion in the right upper hemithorax. © 2020 American College of Chest Physicians" }