Can You Catch a Break?

A 65-year-old man presented with a 3-week history of left-sided chest wall pain, cough, and progressive dyspnea after a significant fall. He was a current smoker with a 40 pack-year history but no relevant past medical history otherwise. Clinical examination revealed diffuse bruising on his left flank, with focal tenderness over his lateral left 10th to 12th ribs. Clinically, he had evidence of a left-sided pleural effusion. Chest radiography...