case_images: PMC6560332_01
case_images: Chest X-ray showing left-sided consolidation and an effusion.
case_images: CRIID2019-4810354.001.jpg
case_images: PMC6560332_01_CRIID2019-4810354.001.jpg
case_images: fig1
case_images: Chest radiograph showed left lower zone effusion with consolidation (see Figure 1). Considering the history and the high inflammatory markers with X-ray changes, a possible diagnosis of left lower lobe pneumonia with parapneumonic effusion was considered.
case_images: CECT chest showing left side empyema necessitans with rib destruction (arrow).
case_images: CRIID2019-4810354.002.jpg
case_images: PMC6560332_01_CRIID2019-4810354.002.jpg
case_images: fig2
case_images: While awaiting TB culture, subsequent CECT revealed empyema necessitans with destruction of the left side anterior upper rib associated with left pleural and mediastinal lymphadenopathy with the most probable infection of tuberculosis (see Figures 2 and 3).
case_images: CECT chest exudative fluid in pleural cavity tracks down making fistula.
case_images: CRIID2019-4810354.003.jpg
case_images: PMC6560332_01_CRIID2019-4810354.003.jpg
case_images: fig3
case_images: While awaiting TB culture, subsequent CECT revealed empyema necessitans with destruction of the left side anterior upper rib associated with left pleural and mediastinal lymphadenopathy with the most probable infection of tuberculosis (see Figures 2 and 3).