Presentation
Syncope, right shoulder pain and upper limb weakness.
Patient Data
Large confluent right upper zone opacity.
Abnormal right first rib.
Cardiomegaly.
Patchy bilateral lower zone opacity obscuring the pulmonary vessels compatible with edema.
Destructive, expanded 8.5 x 7.2 x 6.9 cm tumor of the right first rib with mixed internal density and scattered areas of calcification, especially along the superior aspect of the mass. The mass impinges on the right common carotid, vertebral, and subclavian arteries as well as the right internal ju
Bilateral basilar small effusions and atelectasis.
Cholelithiasis. Partially imaged hepatic hypodensity may represent a cyst.
Case Discussion
Biopsy diagnosis of plasmacytoma.
The patient started chemoradiation therapy 1 week post-discharge.
CT scan of the brain showed no acute intracranial hemorrhage, midline shift, or mass effect.
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