75-year-old woman with history of myelofibrosis, please evaluate spleen size. ABDOMEN:LIVER, BILIARY TRACT: The liver is markedly hypointense on T2 images. Additionally, the liver is large measuring 20 cm in craniocaudal dimension. No focal hepatic lesion identified. There is no intra or extra hepatic biliary duct dilatation.SPLEEN: Paradoxical signal loss on the opposed phase images indicates iron deposition. The spleen is enlarged measuring 21 centimeters in craniocaudal dimension by 14.9 x 7.8 cm in axial dimension. Additionally, there are scattered splenic lesions which are hypointense on T1 images and do not enhance, indeterminate in etiology.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is mild scoliosis of the thoracolumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: The marrow signal in the pelvis is abnormal with diffuse, patchy areas of increased T2 signal and decreased T1 signal.OTHER: There is trace free fluid in the pelvis.
1.Splenomegaly with dimensions provided above.2.Marrow signal abnormality compatible with history of myelofibrosis.