Myelofibrosis CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

CT scan may be helpful in the diagnosis of myelofibrosis. Findings on CT scan suggestive of myelofibrosis include diffuse bone sclerosis.

CT

  • CT scan may be helpful in the diagnosis of myelofibrosis.
  • Findings on CT scan suggestive of myelofibrosis can be divided into scans of different locations such as:

Abdominal CT Findings

  • Thrombus formation in the visceral vasculature[1]
  • Bilateral renal enlargement (as a result of extramedullary hematopoiesis)[2][3][4]
  • Splenomegaly[5][3]
  • Hepatomegaly[3][6][7]

Gallery

References

  1. Magyari F, Bedekovics J, Décsy J, Ilonczai P, Illés Á, Simon Z (April 2018). "[Investigation and treatment of prefibrotic/early primary myelofibrosis. A case study]". Orv Hetil (in Hungarian). 159 (15): 603–609. doi:10.1556/650.2018.30995. PMID 29631428.
  2. Imai K, Aoi T, Kitai H, Endo N, Fujino M, Ichida S (November 2017). "A case of perirenal extramedullary hematopoiesis in a patient with primary myelofibrosis". CEN Case Rep. 6 (2): 194–199. doi:10.1007/s13730-017-0274-1. PMC 5694411. PMID 28895103.
  3. 3.0 3.1 3.2 Orphanidou-Vlachou E, Tziakouri-Shiakalli C, Georgiades CS (June 2014). "Extramedullary hemopoiesis". Semin. Ultrasound CT MR. 35 (3): 255–62. doi:10.1053/j.sult.2013.12.001. PMID 24929265.
  4. Ginzel AW, Kransdorf MJ, Peterson JJ, Garner HW, Murphey MD (August 2012). "Mass-like extramedullary hematopoiesis: imaging features". Skeletal Radiol. 41 (8): 911–6. doi:10.1007/s00256-011-1323-z. PMID 22101909.
  5. Song MK, Chung JS, Lim SN, Lee GW, Lee SM, Lee NK, Choi JC, Oh SY (October 2016). "Usefulness of spleen volume measured by computed tomography for predicting clinical outcome in primary myelofibrosis". Int. J. Hematol. 104 (4): 476–84. doi:10.1007/s12185-016-2050-y. PMID 27349913.
  6. La Fianza A, van der Byl G, Maccabelli G, Torretta L, Calliada F (2010). "CT and MR findings in extramedullary haematopoiesis with biliary system encasement: a case report". J Radiol Case Rep. 4 (11): 1–8. doi:10.3941/jrcr.v4i11.462. PMC 3303353. PMID 22470696.
  7. Kwak HS, Lee JM (August 2000). "CT findings of extramedullary hematopoiesis in the thorax, liver and kidneys, in a patient with idiopathic myelofibrosis". J. Korean Med. Sci. 15 (4): 460–2. doi:10.3346/jkms.2000.15.4.460. PMC 3054659. PMID 10983698.
  8. Image courtesy of Radswiki. Radiopaedia (original file here). Creative Commons BY-SA-NC


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