Solitary bone plasmacytoma

Case contributed by Dr Nick Tarasov

Presentation

Presents with increasing moderate thoracic spine pain for last 5 months

Patient Data

Age: 37
Gender: Male
Modality: MRI

There is a T2-hyperintense solid mass located in the T9 vertebral body without mass effect. It affects the underlying anterior endplates of both the T9and T10 vertebral bodies and discs with acute inflammation depicted by T1-hypo and T2/STIR-hyperintense signals with central areas of Modic 2 changes. It contains both T1 and T2-hypointense peripheral bands giving a specific mini-brain appearance, best seen on axial planes. Also noted T2-hyperintense round focus about 14mm in the body of T8. 

Case Discussion

It is nice case of an uncommon solitary bone lesion causing by plasmacytoma. Classic findings for this disease are demonstrated: male about 40 years old with painful spinal lesion with specific MRI
"mini-brain" appearance.

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Case Information

rID: 40374
Case created: 19th Oct 2015
Last edited: 22nd Apr 2017
System: Spine
Inclusion in quiz mode: Included

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