Empyema necessities in a 17 years male with long standing pneumonia

ABSTRACT

Empyema necessitans is a spontaneous discharge of an empyema that has burrowed through the parietal pleural, usually in the chest wall, to form a subcutaneous abscess. We present a case of 17 year old adult male presented to us for cross-sectional imaging and was diagnosed to be a case of Empyema necessitans besides bilateral empyema associated with right hydro/ hemopneumothorax and multiple thick walled cavitations of variable sizes with multiple air fluid levels in non-segmental distribution involving all lobes bilaterally placed peripherally