Work

An Immunocompromised Man With a Chest Wall Mass

Year: 2025

Type: article

Abstract: A 57-year-old male with a history of Crohn’s disease on infliximab presented to the emergency department with 1 month of dyspnea and a progressively expanding chest wall “mass.” Examination showed an erythematous, fluctuant area over the patient’s right lateral chest wall. His vitals were normal, other than tachycardia at 107 bpm. Subcutaneous incision and drainage yielded 400 mL of brisk, purulent drainage. Point-of-care ultrasound (POCUS) of the right posterolateral lung zone demonstrated a large echogenic punctiform collection in the pleural space, communicating with the skin.

Source: Journal of the American College of Emergency Physicians Open

DOI: 10.1016/j.acepjo.2025.100225

Authors: Patrick M. Lin, Julia Wickman, Jonathon Haverty

Institution: Hackensack University Medical Center

Language: English

Topic: Ultrasound in Clinical Applications

Subfield: Critical Care and Intensive Care Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,600