Presentation
Right lateral chest wall swelling - few days. No pain , fever, skin changes.
Patient Data
At site of swelling pointed by patient, there is collection with mobile internal echoes and irregular wall. It abutts about 180 degree of 10th rib. There is no obvious erosion of 10th rib cortex.Lesion involves intercostal muscles. Approximate size - 35 x 29 x 11 mm - 6.25 cc.There is peri-collection hypervascularity.
There is no extension to subcutaneous fat or in pleural space.
There is a local subcentimeter sized reactive node; abutting rib.
Case Discussion
Findings of chest wall abscess without signs of inflammation ( pain, redness ) - A cold abscess.