[guided]The geometric problem is to bound the area of the part of the sphere that lies inside the fixed ball $B(0,R)$, uniformly in $x$, once $t$ is large. Assume $t \geq 4R$. If $E_{t,x}=\varnothing$, then $\mathcal{H}^2(E_{t,x})=0$, so suppose $E_{t,x}$ is nonempty and choose $y_0 \in E_{t,x}$. Since $|y_0|<R$ and $|y_0-x|=t$, the triangle inequality gives
\begin{align*}
|x| \geq t-|y_0| > t-R \geq \frac{3t}{4}.
\end{align*}
Thus $x\neq 0$, and we define $e:=x/|x|$, the plane $P:=e^\perp$, and the orthogonal projection $\pi:\mathbb{R}^3\to P$.
Why project onto $P$? The sphere is nearly transverse to the direction $e$ on the small patch inside $B(0,R)$, so the patch is a single graph over $P$ with controlled slope. To prove the single-sheet property, take $y,y'\in E_{t,x}$ with $\pi(y)=\pi(y')$. Writing the common projected point as $z\in P$, both points have the form $z+ae$ for some scalar $a\in\mathbb{R}$. Since $x=|x|e$ and $z\cdot e=0$, the sphere equation becomes
\begin{align*}
|z+ae-x|^2=|z|^2+(a-|x|)^2=t^2.
\end{align*}
The possible values of $a$ are therefore roots of $(a-|x|)^2=t^2-|z|^2$. If two roots occur, their arithmetic midpoint is $|x|$. But points in $B(0,R)$ satisfy $|a|=|e\cdot y|<R$, while $|x|>3t/4\geq 3R$. Two numbers in $(-R,R)$ cannot have midpoint $|x|$. Hence at most one point of $E_{t,x}$ lies over each $z\in P$, so $\pi|_{E_{t,x}}$ is injective.
Let $\nu:E_{t,x}\to\mathbb{R}^3$ be the outward unit normal field defined by $\nu(y)=(y-x)/t$. The area formula for orthogonal projection from the smooth surface $\partial B(x,t)$ to $P$ gives
\begin{align*}
\mathcal{H}^2(E_{t,x})=\int_{\pi(E_{t,x})}\frac{1}{|\nu(y_z)\cdot e|}\,d\mathcal{H}^2_P(z),
\end{align*}
where $\mathcal{H}^2_P$ is two-dimensional Hausdorff measure on $P$ and $y_z$ is the unique point of $E_{t,x}$ with $\pi(y_z)=z$. For every $y\in E_{t,x}$,
\begin{align*}
|\nu(y)\cdot e|=\frac{|x|-e\cdot y}{t}\geq \frac{|x|-|y|}{t}\geq \frac{3t/4-R}{t}\geq \frac{1}{2}.
\end{align*}
Also $\pi(E_{t,x})\subseteq \pi(B(0,R))\subseteq P\cap B(0,R)$, so $\mathcal{H}^2_P(\pi(E_{t,x}))\leq \pi R^2$. Substituting these two estimates into the area formula gives
\begin{align*}
\mathcal{H}^2(E_{t,x})\leq 2\pi R^2.
\end{align*}[/guided]