case_images: PMC11258561_01
case_images: A picture of the child's chest showing empyema necessitans (arrowhead).
case_images: qmj-2024-03-035-g002.jpg
case_images: PMC11258561_01_qmj-2024-03-035-g002.jpg
case_images: fig2
case_images: Her physical examination revealed normal bilateral breath sounds but revealed a 4x5 cm firm and tender thoracic swelling with overlying erythema located between the right midclavicular and axillary lines, approximately in the seventh intercostal space (Figure 2).
case_images: Coronal thoraco-abdominal computed tomography with a mediastinal window showing a 5x6 cm empyema eroding into the right anterior chest wall (arrowhead) associated with pleural densification (large arrow) confirming the diagnosis of empyema necessitans.
case_images: qmj-2024-03-035-g003.jpg
case_images: PMC11258561_01_qmj-2024-03-035-g003.jpg
case_images: fig3
case_images: Contrast computed tomography (CT) revealed a 5x6 cm empyema eroding into the chest wall with visualization of a pleural fistula and with no associated pleural effusion (Figure 3).