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Significant coincidence
  1. Hannah Melville1,
  2. Jonathan Costello2
  1. 1Otago School of Medicine, Dunedin, New Zealand
  2. 2Emergency Department, Royal Free Hospital, London, UK
  1. Correspondence to Dr Hannah Melville, 6a Riddiford st, Newtown, Wellington 6021, New Zealand; han.melville{at}

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An 80-year-old man presented with left sided pleuritic rib pain, exacerbated by movement. Examination revealed reproducible chest wall tenderness to palpation but was otherwise unremarkable. Diagnosis was consistent with a musculoskeletal aetiology and a decision was made to discharge the patient. Prior to discharge, a chest radiograph was …

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