<p>There is hepatomegaly with AP diameter of 14.20cm and shows uniform parenchymal echogenicity. No focal hepatic mass lesion is seen. The intrahepatic biliary channels and CBD are not dilated. There is splenomegaly with uniform parenchymal echopattern. it measures 12.22cm in its AP diameter. No focal intrasplenic mass or collection is seen.&nbsp;</p><p>The gallbladder is moderately distended with bile and clear contents and mucosal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their positions, shapes, sizes, outlines and parenchymal echogenicity. No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The pancreatic bed and para-aortic area are within normal limits.</p><p>The visualized bowel loops show normal mucosal wall thickness, caliber and luminal contents with optimal peristaltic activity. The urinary bladder is within normal limits.</p><p><strong>Conclusion : - Hepatosplenomegaly? Cause to rule out myeloproliferative disease</strong></p><p><i><strong>NB: Bone marrow biopsy is suggested for further evaluation&nbsp;</strong></i></p><p>&nbsp;</p>