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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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  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None.

  • Patient consent This x-ray was taken a year previous to this submission; all identifying information has been removed for the image.

  • Provenance and peer review Not commissioned; internally peer reviewed.