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  Indian J Med Microbiol
 

Figure 1: (a) Chest X-ray (PA view) – the visualized bones appear osteopenic with lobulated bilateral paravertebral soft tissue opacities suggestive of extramedullary hematopoiesis. Widening of anterior ends of ribs with “rib with in a rib” appearance in left 4th anterior rib. ( depicted with a black arrow) (b) - CT Chest - Hyperdense bilateral paravertebral soft tissue with subtle bony trabculation. The visualized bones show medullary widening with trabecular coarsening

Figure 1: (a) Chest X-ray (PA view) – the visualized bones appear osteopenic with lobulated bilateral paravertebral soft tissue opacities suggestive of extramedullary hematopoiesis. Widening of anterior ends of ribs with “rib with in a rib” appearance in left 4<sup>th</sup> anterior rib. ( depicted with a black arrow) (b) - CT Chest - Hyperdense bilateral paravertebral soft tissue with subtle bony trabculation. The visualized bones show medullary widening with trabecular coarsening