Chest wall tuberculosis may present with chest pain, but usually the patient has no obvious symptoms. Chest wall tuberculosis can be secondary to tuberculosis of the ribs or soft tissues of the chest wall that are infected by pulmonary tuberculosis, etc. Chest wall tuberculosis can be manifested as a cold abscess caused by tuberculosis or a sinus tract formed by chronic prolongation. Systemic symptoms of chest wall tuberculosis are not obvious in many patients, and some patients may have symptoms such as fatigue, night sweats, and low-grade fever. Most patients have few symptoms except for a cold abscess, which is a lump that is not red, hot, or painful. If the cold abscess is secondary to a suppurative infection, causing complications such as acute pleurisy, there is a possibility of chest pain. Please seek medical attention if you feel unwell.