A 21-year-old, previously healthy, Hispanic male presented with complaints of resting dyspnea, fatigue, and a nonproductive cough. His shortness of breath was initially exertional but had progressed to resting dyspnea during the past month. The patient stated that he also experienced increasing fatigue. On questioning, he stated that during the past month he had noticed an enlarging area of firmness over his right anterior chest that was mildly tender to palpation. He denied fever, chills, sputum, or hemoptysis. In addition, he had not experienced weight loss, night sweats, or gastrointestinal symptoms. He did describe polyuria and was found to be hyperglycemic when he measured his glucose at home on his mother’s glucometer.