A 63-year-old male presented with a 6-month history of anterior chest pain. On examination, the positive findings were: bilateral axillary and inguinal lymphadenopathy together with splenomegaly. There was a palpable tender mass in the region of the sternum. Hb 8.1, MCV 81.5, platelets 84 WCC 2.8, CRP 224, alkaline phosphatase 356, urea and electrolytes normal. A CXR (Image 1) and lateral view of the sternum were performed (Image 2).