Presentation
Young adult with sickle cell anemia. Admitted with abdominal pain
Patient Data
Age: 20 years
Gender: Male
From the case:
Sickle cell anemia
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Large left upper quadrant mass. No calcification. Appearances in keeping with splenomegaly, which is a feature earlier in the disease, before autosplenectomy
Avascular necrosis of the right femoral head - also a feature of sickle cell anemia
Case Discussion
Other features of sickle cell anemia which may be present on the AXR include: H shaped vertebrae, gallstones or a calcified spleen (later in disease).