(A) Multiple lymph node enlargements were found at the left lower neck, mediastinum and axilla, which more likely suggested reactive change combined with infection or tuberculous lymphadenitis. (B) Anterior chest wall of right lung was opened by forming a fistulous tract to the skin, and lung volume was decreased. Patchy consolidation with intraparenchymal calcification in the right lung, and several complicated fluid collections with peripheral wall enhancement around the sternum, clavicle, ribs and lung parenchyma suggested probable chest wall tuberculous infection with parasternal cold abscess. (C) Pericardial enhancement with a small amount of pericardial fluid and pleural thickening in the right lung were found.