Empyema Necessitans 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.