Chronic myeloid leukemia with splenic infarction
Left hypochondrial pain. Known case of chronic myeloid leukemia (CML).
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CT abdomen performed and demonstrates hepatosplenomegaly. The spleen shows abnormal heterogeneous attenuation with peripheral, wedge-shaped low attenuating area suggestive of infarction.
Enlarged para-aortic lymph nodes are also seen.
The uterus is large for the patient age and demonstrate somewhat heterogeneous enhancement; need to be further evaluated clinically and by US or MRI.
Left sided sympathetic effusion is seen associated with atelectasis of the left lung base.