Multiple discrete extradural spinal lesions along the posterior aspect of the thoracic spinal canal, which compress onto the thoracic spinal cord and displaces the cord anteriorly. No high signal intensity within the spinal cord on T2 to suggest spinal cord myelopathy. These extradural lesions have similar intensities to the vertebral bone marrow. Minimal enhancement post contrast. No extension of these lesions into the neural foraminae.
Multiple paravertebral lesions (similar intensities to the spinal epidural lesions in all sequences).
Diffuse lower bone marrow signal intensities on both T1WI and T2WI in the vertebrae likely due to iron deposition from repeated blood transfusion. Trabecular pattern of the vertebral body.
Splenomegaly.