Classical appearances of extra-medullary hematopoiesis with the ancillary signs supporting a patient with sickle cell anemia, one the of main patient groups who present with this condition.
- large paravertebral soft tissue masses (not lymph nodes)
- coarse sclerosis of the bony skeleton (secondary changes of thalassemia)
- splenectomy (removed due to repeated infarcts)
- high attenuation liver - due to multiple blood transfusions
It makes for a fantastic FRCR 2B long case or viva case for discussion.