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Splenomegaly diagnosis?

My spleen is today from ultrasound results is:
13.9 x 13.3.x 5.4 cm. With a total volume of 525.8 mL.
I took an ultrasound 6 months ago and it was:
14.9 x 7.5.x 6.0 cm. Total volume was 355.2 mL.
According to today's results. Has my spleen improved in size and is the recent result normal? I lost over 100 lb a year ago on a low-carb keto diet with exercise as well.

Male | 37 years old
Complaint duration: 6 months
Medications: Famotidine, levothyroxine
Conditions: Hypothyroidism, NAFLD, Colitis Microscopic

3 Answers

You need to discuss the situation with the doctors so one could understand what is causing this.
US is not very accurate in measuring the size of organs, so I would not get too hung up on the values given. You can see how much variation there is between the 2 scans. A better test is a CT scan so talk to your doctors about that test if there is concern for the size of your spleen.
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Splenomegaly is usually related to blood disease. You need to see a hematologist to find out the cause and treatment depending on what the hematologist finds.