This 20-year-old man was feeling "sick", with a fever and malaise. He also complained of chest pain, which was partly relieved by sitting forward. He had a recent history of IV drug use. This ECG shows the tell tale signs of pericarditis: widespread ST elevation without the other signs of M.I. like pathologic Q waves or T wave inversion. The ST segments are similar in height and shape throughout the ECG, and he has a subtle depression of his PR segments, which is another sign of pericarditis.