Tuberculosis with chest wall cold abscess
Mass on posterior aspect of back for 2 months. On admission low grade fever.
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Large multi-loculated thick-walled abscess on the posterior aspect of the left chest wall and flank.
Left apical fibrosis and focal consolidation. Left upper lobe cavity 13 mm across.
Minor right apical consolidation.
Consolidation in the lateral segment of the right middle lobe.
Left-sided pleural thickening and small pleural collection.
No significant mediastinal nodes.
The chest wall abscess was aspirated yielding 500 mL of pus. An abundance of acid fast bacilli were observed on microscopy, confirming the diagnosis of tuberculosis.