The patient is a known case of thalassemia major. There is a history of multiple repeated blood transfusions, leading to secondary hemochromatosis with complications (hypoparathyroidism, secondary adrenal insufficiency, and diabetes mellitus). Past history of splenectomy.

Increased hepatic attenuation on CT is likely related to multiple repeated blood transfusions, leading to secondary hemochromatosis. Increased density left para-aortic lymph nodes were also likely related to the same disease process.