case_images: PMC10886435_01
case_images: Chest x-ray showed a large right pleural effusion.
case_images: cureus-0016-00000052859-i01.jpg
case_images: PMC10886435_01_cureus-0016-00000052859-i01.jpg
case_images: FIG1
case_images: Chest x-ray on the day of presentation is shown in Figure 1.
case_images: CT chest showing large right pleural effusion.
case_images: cureus-0016-00000052859-i02.jpg
case_images: PMC10886435_01_cureus-0016-00000052859-i02.jpg
case_images: FIG2
case_images: CT scan revealed a large right pleural effusion (Figure 2).
case_images: Chest x-ray post thoracocentesis.
case_images: cureus-0016-00000052859-i03.jpg
case_images: PMC10886435_01_cureus-0016-00000052859-i03.jpg
case_images: FIG3
case_images: A repeat chest x-ray was done after thoracocentesis (Figure 3).
case_images: Biopsy showed sections demonstrating fibroadipose tissue, partially cauterized (magnification x40).
case_images: cureus-0016-00000052859-i04.jpg
case_images: PMC10886435_01_cureus-0016-00000052859-i04.jpg
case_images: FIG4
case_images: HIV screen was negative. He also underwent video-assisted thoracoscopic surgery (VATS) during which pleural biopsies were taken (Figures 4, 5).
case_images: Biopsy showed infiltrating cords, tubules, and nests of neoplastic cells with low nuclear grade and no necrosis (magnification x40).
case_images: cureus-0016-00000052859-i05.jpg
case_images: PMC10886435_01_cureus-0016-00000052859-i05.jpg
case_images: FIG5
case_images: HIV screen was negative. He also underwent video-assisted thoracoscopic surgery (VATS) during which pleural biopsies were taken (Figures 4, 5).