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Kaitoukov Y, Zdanovich E, Moser T and Chartrand-Lefebvre C
A 46-year-old male of Greek origin known for β thalassemia major presented with chest pain, dyspnea, and bilateral hip pain. The patient had a past medical history of red blood cell transfusions. Imaging with chest radiograph, chest computed tomography (CT) and abdominal CT/magnetic resonance showed extramedullary hematopoiesis (EMH) presenting as multifocal masses in the posterior mediastinum, lumbosacral paraspinal regions, as well as at the inner margins of the ribs. This case illustrates multisystem involvement with EMH in β thalassemia and how it may orient to the appropriate diagnosis.