Tuberc Respir Dis.  1997 Feb;44(1):59-68.

CT Findings and Types of Tuberculous Chest Wall Abscess

• Hong YK
• Choe KO
• Kim SK
• Chung KY
• Chang J
• Lee WY

Abstract

BACKGROUND: Tuberculous chest wall abscess is a rare complication of tuberculosis. However, there have been few reports about the variable extents and shapes of tuberculous chest wall abscesses. We analyzed the extent and shape of tuberculous chest wall abscesses and grouped them according to combined pleuroparenchymal lesions by CT scans.
MATERIALS AND METHODS
CT fadings were evaluated in 20 patients of tuberculous chest wall abscesses. We classified 29 abscesses in 20 patients into three types according to pleuroparnechymal lesions. Type 1 was defined when there was no active pleuroparenchymal lesion, Type 2, when intrathoracic tuberculosis was contacted with chest wall abscess, Type 3, when ipsilateral subpleural nodules were not contacted with chest wall abscess.
RESULTS
The type 1 included 6 abscesses in 6 patients. They showed rib and/or postal cartilage destruction in their center. They were relatively large and round. The type 2 included 13 abscesses in 10 patients. The abscesses in contact with pleural lesion or mediastinal lesion were mainly located in the outer muscle layer, and they were relatively large in size, However, the abscesses in contact with parenchymal lesion were mainly located in extrapleural space. They were relatively small and they were longest along the long axis of ribs. The type 3 included 10 abscesses in 6 patients. They were located mainly in the extrapleural space.
CONCLUSION
Tuberculous chest wall abscesses showed variable extents and shapes according to pleuroparenchymal lesions. CT is a good diagnostic modality to visualize the extent of tuberculous chest wall abscess and combined pleuroparenchymal lesion.

MeSH Terms

Abscess*
Axis, Cervical Vertebra
Cartilage
Humans
Ribs
Thoracic Wall*
Thorax*
Tomography, X-Ray Computed
Tuberculosis