June 2008

Large irregular hypoechoic mass anterior of the sternum with irregular contour of the sternum

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Clinical information

Painful palpable mass

Ultrasound Images & Clips

Male 60 years, Painful palpable mass

Longitudinal image of the large irregular hypoechoic mass anterior of the sternum with irregular contour of the sternum and typical linear hyperechoic densities perpendicular to the sternum which are typical for periostal reaction of the sunburst type

Extended field of view shows the extension of the tumor

e flow shows a highly vascularized mass with irregular pattern

Lateral X ray of the sternum shows the typical sunburst type periosteal reaction

MRI of the mass shows not only the extension of the tumor on the anterior aspect but also dorsal of the sternum. There is an abnormal signal intensity of the sternum.

Axial MRI image shows the extension of the mass.

Conclusion

A histological biopsy was performed that proved the tumor to be a plasmocytoma
A plasmacytoma is a malignant monoclonal plasma cell tumor growing either in bone or soft tissue. The thorax is not an uncommon site of these

References
Jeung MY, Gangi A, Gasser B, Vasilescu C, Massard G, Wihlm JM, Roy C.Imaging of chest wall disorders. Radiographics. 1999 May-Jun;19(3):617-37.

Details

Sex: Male
Age: 60

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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