CT
Axial C+ arterial phase
Axial C+ portal venous phase
CT chest
- small paravertebral soft tissue abnormalities in keeping with extramedullary haematopoiesis
- lungs clear
CT abdomen
- hepatomegaly. The liver is diffusely hyperdense
- multiple tiny low attenuation foci in the liver, likely to represent small abscesses
- moderate splenomegaly
- multiple enlarged lymph nodes/necrotic lymph nodes in the upper abdomen, the para-aortic space, small bowel mesentery and left anterior abdomen
- mild free ascites
- small gallstones
- coarse texture to the bony skeleton