[Clinical Picture] Unexpected pleural finding after a fall

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A previously healthy 41-year-old man was admitted to the emergency room of Legnago Hospital in a town close to Verona, Italy, in August, 2017, due to an accidental fall and tibial fracture. Pre-surgical testing was unremarkable except for a large pleural opacity in the right upper lobe at chest x-ray. He was a nonsmoker without any occupational exposure to dust, fumes, or vapours. To better characterise the pleural lesion, a contrast-enhanced whole-body CT scan was done. It confirmed a large (8·5×3×8 cm) well-defined pleural lesion without surrounding atelectasis or pleural effusion.

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