A 14yo boy presents with fever and chest pain for 2 days. The chest pain is pleuritic and worse with leaning back. On examination, lung sounds are clear bilaterally, heart is regular with no murmurs, but a friction rub is heard. Which of the following is true of this condition?

A. Treatment of choice is NSAID therapy

B. All patients must be admitted to the hospital on a cardiac monitor

C. CXR is always abnormal

D. Electrocardiogram most commonly shows ST elevation isolated to leads II, III, and aVF

E. Pain is rarely referred to shoulder or back