Plasmacytoma - first rib

Case contributed by Kevan English , 29 Oct 2023
Diagnosis almost certain
Changed by Arlene Campos, 7 Nov 2023
Disclosures - updated 9 Jun 2023: Nothing to disclose

Updates to Study Attributes

Caption was changed:
CT Chestchest w/o Contrastcontrast
Findings was changed:

Solid, round, right apical lung mass measuring approximately 8.5x7.2x6.9 cm, with mixed internal density and scattered areas of calcification, especially along the superior aspect of the mass.

Bilateral basilar hypodensity may reflect small effusions or pleural scarring, and adjacent subsegmental atelectasis.

Cholelithiasis. Atrophic pancreas. Partially imaged hepatic hypodensity, may represent a cyst.

Updates to Case Attributes

Presentation was changed:
Syncope, right shoulder pain, and weakness on admission.
Edit Without Moderation was set to true.
Body was changed:

This represents a case of pancoast tumour. The patient is a 70-year-old female with no significant medical history who presented to the emergency department following a syncope episode. The patient had also had been complaining of right shoulder pain and weakness. A chest x-ray showed a large confluent right upper lobe opacity. A CT scan later revealed a Pancoast tumour. Biopsy confirmed plasmacytoma. The patient started chemoradiation therapy 1-week week post-discharge.

  • -<p>This represents a case of <a href="/articles/pancoast-tumour" title="Pancoast tumor">Pancoast tumour</a>. The patient is a 70-year-old female with no significant medical history who presented to the emergency department following a syncope episode. The patient also had been complaining of right shoulder pain and weakness. A chest x-ray showed a large confluent right upper lobe opacity. CT scan later revealed a Pancoast tumour. Biopsy confirmed plasmacytoma. The patient started chemoradiation therapy 1-week post-discharge.</p>
  • +<p>This represents a case of <a href="articles/pancoast-tumour" title="Pancoast tumor">pancoast tumour</a>. The patient is a 70-year-old female with no significant medical history who presented to the emergency department following a syncope episode. The patient had also been complaining of right shoulder pain and weakness. A chest x-ray showed a large confluent right upper lobe opacity. A CT scan later revealed a Pancoast tumour. Biopsy confirmed plasmacytoma. The patient started chemoradiation therapy 1 week post-discharge.</p>
Status changed from pending review to published (public).
Published At was set to 2023-11-07T02:23:57.919Z.

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