A 15-Year-Old Boy Was Rescued from a Lake After Falling

A 15-year-old boy was rescued from a lake after falling through thin ice. The next day, he developed a severe cold, and 3 days later his general condition deteriorated. He became febrile and started to cough up bloodstained sputum. At first, he had no chest pain, but later, when he coughed, he experienced severe pain over the right fifth intercostal space in the midclavicular line.
-The following statements would explain the patient's signs and symptoms except which?

A) The patient had developed lobar pneumonia and pleurisy in the right lung.
B) Disease of the lung does not cause pain until the parietal pleura is involved.
C) The pneumonia was located in the right middle lobe.
D) The visceral pleura is innervated by autonomic nerves that contain pain fibers.
E) Pain associated with the pleurisy was accentuated when movement of the visceral and parietal pleurae occurred, for example, on deep inspiration or coughing.