This case has the typical appearances of an adult sickle cell anemia patient.

In this case, the iron deposition in the liver and spleen is well illustrated on MRI with a profoundly low T1 and T2 signal appearance in both organs.

This patient group are susceptible to repeated infections and are regular hospital attendees.

The overall appearances are the forme fruste of sickle cell anemia and a reason this kind of scenario is popular in the examination setting.