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Fig. 2C. —65-year-old man with non—small cell cancer who presented with dyspnea and large left-sided pleural effusion. Cytologic evaluation of pleural fluid obtained by thoracentesis revealed negative findings for malignancy. CT scan obtained 4 months after left-sided pneumonectomy shows recurrent malignancy surrounding surgical sutures (arrowheads). Note lobular pleural thickening suggestive of pleural metastases (arrows).