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He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. On his physical examination, cardiac and pulmonary auscultation was completely normal. Bi-phasic scan showed no dissection or pulmonary embolism. He has 40 packs-year of smoking history. He denies taking any medication.
Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. CT angiogram chest: no aortic dissection or pulmonary embolism.
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Coronary Angiogram 
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