Abstract
A 59-year-old man presented with anaemia and complaints of abdominal pain, weight loss, fatigue and dizziness. Computed tomography (CT) scans of the chest revealed bilateral paravertebral masses. The CT features were typical of extramedullary haematopoiesis (EMH). EMH should be strongly considered in a patient with bilateral, well-marginated, paravertebral thoracic masses and a history of chronic, severe anaemia.
Highlights
A 59-year-old man presented with anaemia and complaints of abdominal pain, weight loss, fatigue and dizziness
extramedullary haematopoiesis (EMH) is seen in a variety of haematological disorders, including severe haemolytic anaemias, leukaemia, lymphoma, myelodysplasia and myelofibrosis
The most common sites of EMH are the liver, spleen and lymph nodes, it can occur in any organ
Summary
A 59-year-old man presented with anaemia and complaints of abdominal pain, weight loss, fatigue and dizziness. Chest radiography depicted bilateral posterior mediastinal masses (Fig. 1). Chest computed tomography (CT) scans revealed well-marginated and lobulated bilateral paravertebral masses in the lower half of the thorax, with heterogeneous density owing to areas of fat and softtissue attenuation, suggesting long-standing disease (Fig. 2).
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