Contrast-enhanced thoracic CT shows multiple enhancing soft tissue masses in bilateral para-vertebral gutters in favor of extramedullary hematopoiesis.
Moderate pleural effusion and a chest tube with the passive collapse of the right lung base is evident in the right hemithorax. Amorphous dense material in the effusion in right hemithorax is in favor of hematoma.
Another soft tissue mass of extramedullary hematopoiesis is also seen in the pre-sacral area. Evidence of splenectomy and hepatomegaly is seen.
Few smaller than 2-centimeter hepatic nodules with delayed washout but without arterial hyper-enhancement are seen in the left liver lobe.