Primary pulmonary plasmacytoma (PPP) is extremly rare. Because of its rarity, PPP may present a diagnos-ticchallenge to the radiologists and there is a little information on the diagnosis and treatment of this condi-tion.We report on a patient with PPP presenting with a left hilar mass on chest radiograph and CT scan. The diagnosiswas confirmed by immunohistochemical study of the resected specimen.