What are the differential diagnoses of hepatosplenomegaly?
Infection (CMV, infectious mononucleosis, malaria) , haematological disease (leukaemia, lymphoma, myeloproliferative disorders), congestive (chronic liver disease with portal hypertension, hepatic vein obstruction)
This spleen is markedly enlarged and has a craniocaudal dimension of 28 cm. The liver has a craniocaudal dimension of approximately 26 cm. There are several areas of low attenuation present within the spleen, the largest of which is inferolateral and anteriorly located. It is approximately 4 cm in size on axial imaging. The spleen otherwise shows no definite abnormality. The pancreas and kidneys have a normal appearance. There aorta is of normal calibre. Some pelvic fluid is shown.