Plasma cell myeloma

Case contributed by Hani Makky Al Salam
Diagnosis certain

Presentation

Chest pain

Patient Data

Age: 75
Gender: Male
x-ray

Mass in the left upper zone. 

One year later

x-ray

Soft tissue mass in the posterior left upper lobe with bony destruction of the left fourth rib. 

ct

Large mass arising from the left fourth rib with bony expansion and periosteal reaction. 

Two years later

x-ray

Left rib mass has continued to increase in size. 

Case Discussion

Pathology: plasma cell myeloma.

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