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CXR: BIlateral paraspinal masses - symmetrical in nature at the level of the heart Abnormal contour at the right hilar level, but the hilum is separately delineated (hilum overlay sign).
AXR: Splenomegaly down to the level of the iliac crest. Coarse trabeculation of the bony skeleton.
Minor expansion of some of the ribs, most pronounced in the upper thoracic cavity, with narrowing of the intercostal spaces.