A 52-year-old man was admitted to the hospital with 2 weeks of left-sided severe chest pain associated with persistent dry cough and dyspnea on exertion. There was no history of palpitations, syncope, orthopnea, paroxysmal nocturnal dyspnea, pedal edema, or fever. He started having projectile vomiting and dysphagia to solid foods after 2 days of admission. His medical history was significant for hypertension, which was treated with metoprolol, losartan, and amlodipine. He also had a history of 10 pack-years of smoking but no alcohol or drug use.