Shell extension menu items. It could be anything, but I generally use Edit with Vim, Edit with existing Vim, TortoiseGit, TortoiseHg, and sometimes one from an app called Uninstall Tool. There are loads, it just depends on the context. I like to have the context menu minimal, so I have "Hide Windows & third-party items on the file context menus.
Now that I'm looking in the preferences, can I disable that option and then manually block everything that I don't want to see in the Opus menu?
Just tried that and it looks like I can, although I would prefer to have a minimal uncluttered menu by default unless I explicitly need an extension and decide to show them, which I currently do with Shift-right mouse.