We report on the case of a 70-year-old woman presenting with right hip pain. Radiographs of the right hip demonstrated a well-defined
large lytic lesion in the proximal right femur, with prominent trabeculae situated peripherally and extending into the lesion
in a “spoke-wheel” pattern. Magnetic resonance imaging (MRI) demonstrated solid enhancing marrow-replacing lesion, with intervening
linear nonenhancing areas of low T2 signal intensity. The MRI appearance resembled that of a small brain or “mini brain”.
Biopsy specimen demonstrated predominantly mature plasma cells, with occasional admixed immature forms. A diagnosis of plasmacytosis,
consistent with myeloma, was made. This case illustrates a rare but seemingly characteristic “mini brain” appearance of plasmacytoma,
which, to date, has only been reported in the spine and has not been observed in other bony lesions.
Keywords Plasmacytoma - Multiple myeloma - MRI - Hip