Abdominal pain

Chief complaint A 47 y/o male presents with right-sided abdominal pain of 2 months. History He has h/o cholelithiasis, and status-post cholecystectomy presented with progressively worsening right-sided abdominal pain. No complaints of nausea, vomiting, diarrhea. She has history of weight loss. Investigations Pain is 6/10 and is non radiating in nature. Diagnosis Please give your opinion.

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Massive hepatosplenomegaly Both liver and spleen reaching pelvis Associated with lymphadenopathy Differential diagnosis Lymphoma Chronic myeloid leukemia Myelofibrosis Gaucher's disease Chronic malaria Amyloidosis

HEPATOSPLENOMEGALY. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND LINE OF TREATMENT. R/O CARCINOMA

Thanks Dr Dinesh Gupta
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Pain is not commensurate with ct scan abdomen.. even if there is hepto splenomegaly, it is not likely to cause pain. Re-evaluate the case

Hepatosplenomegaly Definitely lesion in lt lobe Biopsy HP r/0 malignancy

Massive heaptomegaly with spleenomegaly. Biopsy needed for malignancy

POSSIBLY MALIGNANT CHANGES NEEDS. FURTHER. EVALUATION

Massive Hepatosplenomegaly Lymphadenopathy

Residual ductal stone

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