Presentation
Known patient with poorly treated pulmonary tuberculosis presenting with chest pain and chest wall swelling.
Patient Data
Age: 30 years
Gender: Male
From the case:
Empyema necessitans
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A loculated left pleural effusion with thickened surrounding pleura and gas bubble that communicates with an organized, subcutaneous chest-wall abscess collection.
The left lung is atelectatic. No right-sided pleural effusion.
Case Discussion
Empyema necessitans is a rare complication of pleural infection most frequently secondary to Mycobacterium tuberculosis infection reactivation whereby empyema dissects into the chest wall.
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