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The spleen is enlarged with a large ill-defined hypodense lesion that contains central foci of calcification. The lesion displays progressive centripetal filling after contrast administration.
Innumerable other small lesions are seen throughout the splenic parenchyma with hyperenhancement in arterial and venous phases with complete fill-in at delayed phase, suggestive of small splenic haemangiomata.
A note is made of severe bilateral avascular necrosis of femoral heads with secondary osteoarthritic changes.
Cardiomegaly is also noted.
Diagnosis: splenic hemangioma causing thrombocytopenia and complicated by steroid-induced femoral head avascular necrosis.