A 14-year-old male presen...

A 14-year-old male presented with intermittent right infra-axillary chest pain, lacking a crescendo pattern. Respiratory examination revealed normal vesicular breath sounds throughout both lung zones with no added sounds. No systemic involvement was observed. Initial treatment on an outpatient basis with analgesics and antibiotics provided temporary relief, suggesting muscular or pleuritic origin. However, symptoms reappeared upon discontinuation. Subsequent investigations, including X-ray DL spine and CT chest, unveiled multiple lytic lesions in D6 and D11 dorsal vertebrae and enlarged mediastinal lymph nodes, indicating probable TB spine. Anti-Tuberculosis Treatment (ATT) was initiated, resulting in symptomatic improvement.