PMC5907393_01
Multiple cavitary nodules within the right lung apex representing septic emboli. Bilateral pleural effusions with left-sided pleural-based focus of confluent fluid attenuation that extends through the anterior chest wall and insinuates between the pectoralis major and minor muscles representing empyema necessitans (arrows) are shown.
CRIID2018-4906547.001.jpg
PMC5907393_01_CRIID2018-4906547.001.jpg
fig1
A loculated component along the left upper lung insinuated through the chest wall into the left pectoralis muscle, raising the possibility of empyema necessitans (Figures 1 and 2).
Arterial-phase axial computed tomographs of the lower thorax demonstrating a moderate left pleural effusion with associated compressive atelectasis. Peripheral cavitary pulmonary lesions and partially visualized tricuspid valve (with known vegetation) are shown.
CRIID2018-4906547.002.jpg
PMC5907393_01_CRIID2018-4906547.002.jpg
fig2
A loculated component along the left upper lung insinuated through the chest wall into the left pectoralis muscle, raising the possibility of empyema necessitans (Figures 1 and 2).