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Solitary chest wall plasmacytoma

Imaging findings

Chest radiograph and CT show a massive, well-defined expansile soft tissue mass arising from a posterior rib, showing bone destruction and direct extension into the spinal canal causing cord compression.

Key takeaways

A solitary plasmacytoma can present as a large, highly destructive expansile chest wall mass. Extension into the spinal canal is a critical complication requiring urgent neurosurgical evaluation.

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