A 79-year-old man presented with right-sided chest pain. The chest pain started 3 weeks earlier, slowly worsened, and was sharp and nonradiating. The pain worsened with deep inspiration and was partially relieved by over-the-counter pain medication. The patient also described a growing painful lump over the right breast area. He denied fever, cough, sputum production, hemoptysis, weight loss, or anorexia. His history is negative for trauma, aspiration, loss of consciousness, bad teeth, or any recent dental workup. His social history was negative for smoking or alcohol. The medical history was significant for hypertension and type 2 diabetes mellitus. Medications included fosinopril, aspirin, and hydrochlorthiazide.