A 59-year-old man presented with anaemia and complaints of abdominal pain, weight loss, fatigue and dizziness. Computed tomography (CT) scans of the chest revealed bilateral paravertebral masses. The CT features were typical of extramedullary haematopoiesis (EMH). EMH should be strongly considered in a patient with bilateral, well-marginated, paravertebral thoracic masses and a history of chronic, severe anaemia.
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