Empyema Necessitatis - Physical examination revealed a tender, bulging anterior thoracic mass and a small ulcerative lesion that was inferomedial to the right nipple (Panel A). Computed tomographic scans showed a pleural effusion (Panel B) that extended through the chest wall (Panel C) #Clinical #Pulm #Radiology #CT #Empyema #Necessitatis #NEJM
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