A 38-year-old man presented to the pulmonary clinic with a 9-month history of progressive bandlike burning pain around his chest and sharp stabbing pain anteriorly, along with shortness of breath. He had been a welder for 15 years, making iron dumpsters in a plant. He noticed shortness of breath when climbing stairs and moderate symptoms when walking. He also reported a dry cough. He denied any other systemic symptom and had no other medical or surgical history. He was a nonsmoker.