Background: Systemic lupus erythematosus (SLE) is a complex autoimmune disease that leads to systemic inflammation and damage across various organs, including the respiratory system. The prevalence of pleuropulmonary manifestations in SLE patients, particularly in Saudi Arabia, remains underexplored. Objective: This study aims to determine the frequency of pleuropulmonary involvement in SLE patients at King Fahd Hospital of the University (KFUH), Khobar, Saudi Arabia, and identify factors associated with the presence of such findings. Method: A retrospective analysis was conducted on adult SLE patients at KFUH, using hospital medical records for data collection on demographic characteristics, clinical features, and immunological markers. Pleuropulmonary involvement was defined based on high-resolution computed tomography (HRCT) findings. Statistical analyses evaluated associations between pleuropulmonary findings and clinical or immunological parameters. Results: Out of 207 SLE patients (mean age 39.9 years, 92.8% female), 17.4% showed pleuropulmonary involvement on HRCT, with pleurisy being the most prevalent manifestation, followed by pulmonary nodules. Significant associations were found between pleuropulmonary involvement and positive rheumatoid factor (p = 0.002), cardiac involvement (p = 0.002), and higher SLICC/ACR damage index scores (p = 0.001). Patients with positive rheumatoid factor and elevated SLICC/ACR damage index had increased odds of developing pleuropulmonary complications (3.73- and 7.28-fold, respectively). Conclusions: Pleuropulmonary involvement in SLE patients is associated with clinical and immunological markers, including rheumatoid factor, cardiac involvement, and higher SLICC/ACR damage index scores. Recognizing these associations may improve the early detection and targeted management of high-risk patients.

Breast abscess in males is a rare condition, which accounts for 1%-3% of all documented breast diseases. Males with certain risk factors may develop a breast abscess. The ultrasonographic, mammographic, and pathological characteristics of this case will be highlighted in the report. A 51-year-old morbidly obese Saudi male who is a 160-pack-years smoker presented to our surgical clinic complaining of a right breast mass that presented a long time ago and was changing in size. The mass was painless until 5 days prior to presentation. On physical examination, a firm nonmobile 3 × 4 cm mass was felt at 10-12-o'clock, 1 cm away from the nipple. A bilateral X-ray mammogram and ultrasound were performed with fine needle aspiration and culture. The mammogram of the right breast showed a well-circumscribed subareolar mass with equal density, and it was also associated with overlying skin thickening and relative breast parenchymal edema. The fine needle aspiration grossly showed yellowish-green turbid content followed by turbid blood. The anaerobic culture results showed the gram-positive cocci, Finegoldia Magna. The patient was then instructed to take an antibiotic accordingly and return after 1 week. Fine needle aspiration and culture were performed again after antibiotics and grossly showed 2-3 cc of pus without any growth in culture. Male breast disorders are typically benign, with gynecomastia being the most prevalent, and malignancy being the most serious despite its rarity. Breast abscesses are a challenging clinical condition, and radiologists have a pivotal role in evaluation and follow-up of these lesions.