**Core Concept**
Tuberculosis pleural effusion is a complication of pulmonary tuberculosis where the infection spreads to the pleural space, causing fluid accumulation. This condition is characterized by a specific set of clinical and radiological features, which are essential to diagnose and manage.

**Why the Correct Answer is Right**
The correct answer is a characteristic feature of tuberculosis pleural effusion. Tuberculosis pleural effusion typically presents with an exudative effusion, which is defined by a high protein content (>3g/dL) and a high lactate dehydrogenase (LDH) level (>200 U/L). The fluid is usually anucleated and contains a high number of lymphocytes, with a low glucose level. The pleural fluid ADA (adenosine deaminase) level is usually elevated in tuberculous pleural effusion.

**Why Each Wrong Option is Incorrect**
**Option A:** This is a characteristic feature of tuberculosis pleural effusion, which typically presents with an exudative effusion.
**Option B:** This is a characteristic feature of tuberculosis pleural effusion, which typically presents with an elevated ADA level.
**Option C:** This is a characteristic feature of tuberculosis pleural effusion, which typically presents with a high lymphocyte count in the pleural fluid.

**Clinical Pearl / High-Yield Fact**
Tuberculosis pleural effusion should be suspected in any patient with a pleural effusion who has a history of pulmonary tuberculosis, recent travel to an endemic area, or a positive tuberculin skin test.

**Correct Answer:** D.