Multiple sinuses and induration of chest wall is likely due to
Pulmonary Actinomycosis. Lung and pleura get infected by direct spread from pharynx or by aspiration. Empyema develops. Later chest wall nodules appear leading to sinuses with discharge(20%). Fascio-cervical type is the most common Reference : SRB's Manual of Surgery, 6th Edition, page no = 54.
Tuberculosis
Atypical mycobacterial infection
HIV-AIDS patient with tuberculosis
Pulmonary actinomycosis
Trauma