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A 79-year-old man had presented to his general practitioner with a non-resolving pneumonia. He was treated with three courses of antibiotics after which a chest radiograph (figure 1) showed right lower zone opacity with an effusion raising concerns of underlying malignancy. He was referred urgently to the respiratory team via the suspected cancer pathway. A staging CT scan of chest and liver (figure 1) was requested. The staging CT chest and liver described a focal mass-like consolidation in the subpleural region of the right middle lobe and …
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