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(a and b): Fistulous orifice in the antero-lateral left chest wall.
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On physical examination, he was cachectic with caseous-purulent drainage and exteriorization of air with cough effort from an orifice in the antero-lateral left chest wall (Fig. 1a and b).
Chest x-ray showing heterogeneous infiltrate with bilateral alveolar-nodular pattern.
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The chest radiograph showed bilateral infiltrates (Fig. 2) also evident on the chest computed tomography (CT) scan showing several bilateral cavitary lesions (Fig. 3) and a pleurocutaneous fistula extending from left pleural cavity to left anterolateral chest wall (Fig. 4).
Axial CT chest showing subcutaneous emphysema in a fistulous path (arrow) corresponding to the pleurocutaneous fistula extending from left pleural cavity to left anterolateral chest wall.
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The chest radiograph showed bilateral infiltrates (Fig. 2) also evident on the chest computed tomography (CT) scan showing several bilateral cavitary lesions (Fig. 3) and a pleurocutaneous fistula extending from left pleural cavity to left anterolateral chest wall (Fig. 4).