Myelofibrosis (massive splenomegaly with infarct)
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Massive splenomegaly with multiple infarcts of differing ages. Hepatomegaly.
Prominent mesenteric vessels likely from venous engorgement given the dilated splenic and portal veins. Small volume of pelvic free fluid.
Diffuse bony sclerosis.
This case demonstrates some of the imaging features of myleofibrosis:
- diffuse bony sclerosis
- massive splenomegaly with its complications:
- splenic infarct
- portal hypertension from increased splenic venous return