This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'All of the following can be associated with PNH Except: \nSelect and explain. \nA. Cerebral thrombosis, B. Budd chiari syndrome, C. Pancytopenia, D. Massive splenomegaly', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answer is D (Massive splenomegaly) PATH is usually not associated with a massive splenomegaly `Splenomegaly is present in some patients with PNH, but the enlargement of spleen is usually quiet modest'.", 'role': 'assistant'}]