SUMMARYIntrathoracic extramedullary haematopoiesis is a rare condition. Involvement of the spinal epidural space with haematopoietic tissue is rather unusual. A 31‐year‐old‐man with a known diagnosis of β‐thalassaemia was referred with focal back pain. Magnetic resonance imaging revealed diffuse bone‐marrow changes, thoracic paraspinal masses and lobulated epidural masses, suggesting extramedullary haemopoiesis. The patient was treated with radiotherapy and blood transfusions. Follow‐up MRI was performed for evaluation efficacy of the treatment.
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