60-year-old woman with history of myelofibrosis on clinical trial, please measure spleen size. ABDOMEN:LIVER, BILIARY TRACT: The right hepatic lobe is relatively atrophied. Scattered T2 hyperintense hepatic cysts are stable.Patient is status post cholecystectomy. Additional perihepatic surgical clips are noted. There is mild, stable intrahepatic biliary ductal dilatation.The portal vein is thrombosed chronically with extensive collateralization and large splenorenal shunts.SPLEEN: The spleen is markedly enlarged but stable measuring 22.6 cm in craniocaudal dimension (12/19) and 16.3 x 11.5 cm in axial dimension (13/30). Small foci of heterogeneous T1 and T2 signal are again noted. Additionally, there are scattered foci of susceptibility artifact compatible with iron deposition.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple and hemorrhagic/proteinaceous renal cysts noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Marked splenomegaly similar in size to prior exams.2.No additional significant change from priors with persistent portal vein thrombosis and collateral shunting.