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Bilateral posterior mediastinal masses associated with medullary expansion of the posterior ribs. Spleen is surgically removed from hypersplenism. The liver is hyperdense due to hemosiderin deposition.
The patient had thalassemia and as a result of this type of anemia his bone marrow expands to compensate for the blood loss.
- Georgiades CS, Neyman EG, Francis IR, Sneider MB, Fishman EK. Typical and atypical presentations of extramedullary hemopoiesis. AJR. American journal of roentgenology. 179 (5): 1239-43.