Presentation
Fever and chest pain.
Patient Data
Age: 60 years
Gender: Male
From the case:
Empyema necessitans
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Non-contrast chest CT scan demonstrates a moderate size fluid collection in the right pleural cavity and split pleura sign with extension into the soft tissues of the chest wall, compatible with empyema necessitans.
Some air foci are also seen in the pleural and subcutaneous fluid collections.
Case Discussion
Empyema necessitans refers to extending an empyema out of the pleural space and into the adjacent chest wall and surrounding soft tissues.
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