Clinical History and Clinical Examination:
A 60 year- old male, a known case of hypertension, hemorrhoids that were operated on accordingly, diabetes mellitus, hepatitis C (treated), and recurring cellulitis due to multiple IV and IM injections (specifically Tramadol and Multivitamins) for his constant complaints of bilateral knee pain presented to the ER department of a tertiary care hospital with the presenting complaints of drowsiness and a moderately defined swelling of his left anterior chest wall for 1 month that was warm, painful and erythematous, hard and stony in consistency, gradually increasing in size along with purulent discharge of small volume. On clinical examination, he had pallor, distended abdomen, umbilical hernia, and decreased left-sided airway entry on chest auscultation.