Delayed diagnosis of aortic dissection: the overlooked clues on chest X-ray

This case underscores two critical learning points: (1) the diagnostic pitfalls associated with atypical early presentations of aortic dissection, and (2) the often underappreciated value of meticulous interpretation of chest X-rays in the evaluation of acute chest pain, particularly when initial studies yield unremarkable results. The three-day diagnostic delay emphasizes the necessity of maintaining a high index of suspicion for aortic dissection, even in young patients lacking classic risk factors.