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
All of the following can be associated with PNH Except: 
Select and explain. 
A. Cerebral thrombosis, B. Budd chiari syndrome, C. Pancytopenia, D. Massive splenomegaly
D: Massive splenomegaly
Answer: D: Massive splenomegaly 
Explanation: 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'.