Objective: To observe the pathology character, imaging manifestions and curing effect for pleural solitary fibrous tumor. Methods: Eighteen patients with complete medical records were retrospectively analyzed, their clinical treatment and nursing information had been researched. Results: Twelve patients were carried out CT plain scan, large mass with well-defined margin was detected in 7 patients, 5 patients with wide base connected to the pleura. Six cases were given MIR examination. Chest tumor incision, VAT incision and combined incision method has been used. Conclusions: SFTP is independent of solitary tumor in the chest, There are certain features of CT and MRI. Pathology showes a significant increase in tumor cell density, nuclear atypia. CT and MRI examination will be helpful for diagnosis, and MRI signal will be more precise for tissue feature than CT scan. Surgical resection remains the primary clinical treatment for SFTP.