Opinion please – Spine with multiple ABCs

A colleague showed me this case and would appreciate your opinion.

Woman in early 40s. Thoracic spine MRI with submitted history: “Hx of spinal fracture – core weakness – ? injury affecting spinal cord.” PMH hypothyroidism. No provided history of malignancy or other available imaging.

There seems to be diffuse marrow replacement but also what look like several mutilevel ABCs. Any particular entity that can cause this? Could these be hemorrhagic mets?

Thanks in advance

Zaid

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