76 year old female patient with history of myelofibrosis with splenomegaly. ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly measuring 20 cm in the craniocaudal dimension. There is marked decrease in T2-weighted signal intensity compatible with iron deposition. No intra- or extrahepatic biliary ductal dilatation. No focal suspicious lesion is identified.SPLEEN: Marked splenomegaly measuring 20 cm in the craniocaudal dimension and 14 x 7 cm in the axial plane. The spleen is diffusely hypointense on T2-weighted imaging. There are stable punctate T2 hyperintense foci in the spleen. There are multiple presumed siderotic nodules. PANCREAS: Unchanged punctate cystic focus in the pancreatic head may represent a sidebranch IPMN. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Bone marrow signal intensity is markedly decreased. OTHER: No significant abnormality noted.
1.Hepatosplenomegaly with significant iron deposition in the liver and spleen.2.Marrow signal abnormality compatible with history of myelofibrosis. 