Procedure: The left arm is surveyed w/ the ultrasound. Identification of a vein in subcutaneous tissue superficial to the brachial vein along the medial aspect of the arm is identified. The area is prepped and draped in a sterile fashion, an 18 guage Angiocath is placed into the vein and secured. It flushes easly and aspirates blood. The right upper extremity is then prepped and draped, and the area over the fluctuant abscess is infiltrated with1 % lidocaine with epinephrine and an approxiamately a 2 inch vertical incision over the abscess is made, carried into the subcutaneous tissue and the abscess cavity is entered. Large amount of purulent fluid is expressed, between 1 and 200cc is estimated. The would was then irrigated. Digitally explored. Loculations were broken up and then the abscess is packed with a 2 inch kerlix clean roll