Intended for healthcare professionals

Endgames Spot Diagnosis

Chest and neck pain in a 22 year old woman

BMJ 2016; 353 doi: (Published 19 May 2016) Cite this as: BMJ 2016;353:i2757
  1. David C Howlett, consultant radiologist and honorary clinical professor1,
  2. Joseph Dalby Sinnott, foundation year 2 doctor2
  1. 1Department of Radiology, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2East Sussex Hospitals NHS Trust
  1. Correspondence to: david.howlett{at}

A 22 year old woman was referred to the emergency department by her general practitioner owing to severe chest pain that was now radiating to her neck. The pain has been worsening over the past 24 hours. It first started when she was eating fish at a seafood restaurant. What does the lateral soft …

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