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Marked splenomegaly with multiple splenic foci of low signal, they are tiny innumerable (Gamna Gandy bodies).
Splenic siderotic nodules (also known as Gamna-Gandy bodies) of the spleen is most commonly encountered in portal hypertension. The pathophysiological process is the result of microhaemorhage resulting in hemosiderin and calcium deposition followed by fibroblastic reaction.