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  • Title: Magnetic resonance imaging findings of empyema necessitatis in a child with a group A streptococcus infection.
    Author: Stein R, Manson D.
    Journal: J Thorac Imaging; 2012 Jan; 27(1):W13-4. PubMed ID: 21364472.
    Abstract:
    Empyema necessitatis is a process defined and characterized by the transpleural spread of an infected pleural collection into the adjacent chest wall. Symptoms may be referable to the associated pleural and consolidative infection, but sometimes are associated with chest wall involvement. To our knowledge, the magnetic resonance imaging findings of this process have not yet been previously described in children. We present the magnetic resonance imaging findings of a rare case of a child with empyema necessitatis due to a group A streptococcal agent. The aggressive findings make differentiating infection from a tumor difficult.
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