Empyema necessitans

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Backache - Few wks.

Patient Data

Age: 30 yrs
Gender: Female
x-ray

.

ultrasound

CXR - Haziness in right mid lower zone in PA view with right costo-phrenic effusion.

          Lateral view - Elliptical soft tissue density on posterior aspect of chest wall.

USG - Loculated pleural collection in right paraspinal region.

            Extension is noted in intercostal muscles at 9th - 10th ribs.

           Mild effusion at costo-phrenic region.

Case Discussion

Empyema necessitans refers to extension of a pleural infection out of the thorax and into the neighboring chest wall and surrounding soft tissues

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