Solitary bone plasmacytoma

Case contributed by Bruno Di Muzio
Diagnosis almost certain


Painful mass in lower left rib.

Patient Data

Age: 50 years
Gender: Male

Chest radiograph


A rounded mass is demonstrated within the left chest wall associated with a focal destruction of the 6th rib. The lungs and pleural spaces are clear. 

CT Chest (selected images)


The mass is confirmed to be a soft tissue tumor destroying the rib. Dependent atelectasis and small left pleural effusion.

Case Discussion

Solitary bone plasmacytoma: the thoracic vertebrae are most commonly involved, followed by lumbar, sacral, and cervical vertebrae. The rib, sternum, clavicle, and/or scapula are involved in ~20% of cases.

This case was discussed in a multidisciplinary meeting where the diagnosis was announced. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.