57 year old female with a history of myelofibrosis on clinical trial protocol IRB 12-2179. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions.SPLEEN: Marked splenomegaly with the spleen measuring up to 23 cm in length, similar to prior exam. Multiple foci of increased T2 signal abnormality without enhancement are too small to characterize but may represent hemangiomas or cysts, similar to prior exam. Mild perisplenic ascites noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple cysts are identified in the kidneys bilaterally, similar to prior exam.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple T1 hyperintense foci within the L2 and L3 vertebral bodies, likely representing hemangiomas and similar to prior exam.OTHER: No significant abnormality noted.
Marked splenomegaly is not significantly changed. 