Paraguay keeper Justo Villar has been ruled out of the rest of the World Cup because of the calf muscle he tore against England on Saturday.
A distraught Villar looks to be limping out of the World Cup
The 28-year-old had already been ruled out of Paraguay's two remaining group games because of the injury, a tear on the inside of his right leg.
But now he has been told he will not play for a month.
Paraguay team doctor Osvaldo Pangrazio said on Monday the latest scan "shows a very serious tear".
The doctor continued: "It's a five-centimetre tear, with a hematoma of more than 10 centimetres. It's a serious injury."
Jorge Nunez, who replaced Toledo when he left the field after seven minutes against England, is set to take his place for Paraguay's next game against the Swedes.