CASE 700: RIGHT THORACIC WALL TB ABSCESS, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr HỒ CHÍ TRUNG, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 45 year-old  female patient with right thoracic painful swollen area for 5 months.

Ultrasound detects right pleural effusion, thoracic wall mass which contains rib cartilage destruction, close by pleural wall thickening at 4 th intercostal space, and local lymph nodes.

Chest X-RAY  shows right pleural effusion and nothing about thoracic wall. 

MSCT  confirms a right thoracic wall lesion and right lung NAD.

FNAC and core biopsy of right thoracic wall results  think  about TB inflammed lesion with ADA raises slightly in right pleural fluid.

So it exists a painful right thoracic wall for 5 months and evidents belongs to a TB infection without primary lung lesion.

Histoimmumologic staining results are TB inflammed cartilage and soft tissue which exists granular cells and lymphocytes.

It will be planned for a TB regimen in TB and Lung hospital.