Abstract
A 17-year-old boy playing quarterback for his high school football team was tackled by a lineman who fell onto him, driving his right shoulder into the ground. On presentation to the Emergency Department, he complained of right shoulder pain and difficulty swallowing. His right arm was semi-adducted and he was unable to move it without significant anterior chest discomfort. A chest radiograph was performed (Figure 1), followed by a computed tomography (CT) scan of the chest with intravenous contrast (Figures 2, 3).
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