Hyperdense liver due to iron overload

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Abdominal pain. Prior right hemicolectomy and right nephrectomy.

Patient Data

Age: 80 years
Gender: Male

Diffusely hyperattenuating liver. Splenomegaly. Hyperattenuating porta hepatis lymph nodes.

Prior right hemicolectomy and right nephrectomy. Incidental calcified gallstone.

Case Discussion

The patient had a long history of blood transfusion-dependent myelodysplasia, with acquired secondary hemochromatosis as the cause for hyperattenuation of the liver.

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