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