A 26year old female presents with sudden onset of
retrosternal chest pain. On direct questioning she reveals that the pain came
on shortly after smoking marijuana.
On examination she has a pulse rate of 110 beats per
minute, BP 110/60, JVP not elevated, trachea midline, apex not displaced.
On auscultation a crunching sound is heard in systole.
Respiratory and abdominal examination is unremarkable.
No abnormality is seen on the plain x-ray of her chest,
ECG shows T inversion in the anterior chest leads.
Which of the following investigations is likely to
confirm your diagnosis?
Upper gastrointestinal endoscopy
Chest CT scan