A 40-year-old man presented with a 3-month history of fever, weight loss, dyspnea, and cough. Physical Examination: Examination revealed a tender, bulging anterior thoracic mass and a small ulcerative lesion that was inferomedial to the right nipple (Image attached). Radiological findings: Computed tomographic scans showed a pleural effusion that extended through the chest wall (Images attached), along with accompanying bone destruction. Surgical exploration revealed purulent pleural fluid and the culture of the fluid grew Mycobacterium tuberculosis.
What is the probable diagnosis and treatment in this case? *This case is from Docplexus Editorial Team for educative purpose only. Source: The New England Journal Of Medicine
