Presentation
Right chest pain with a palpable mass.
Patient Data
Age: 60 years
Gender: Male
From the case:
Empyema necessitans
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Large soft tissue mass right lower chest, cardiac silhouette normal in size, left lung clear.
From the case:
Empyema necessitans
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Large right pleural fluid collection with split pleura sign and extension into the right chest wall between the right eighth and ninth ribs. There is a marked increased size of the interspace between the right eighth and ninth ribs but no bone destruction.
Case Discussion
An empyema that spreads into the adjacent chest wall is called empyema necessitans.
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