case_images: PMC11099218_01
case_images: Portal Vein Computed Tomography Venography (CTV) Indicating Pulmonary Hypertension (PH). Panel (A) shows the main portal vein with a width of approximately 20 mm, as highlighted by the arrow. Panel (B) demonstrates a significantly enlarged spleen, as indicated by the arrow.
case_images: fmed-11-1375571-g001.jpg
case_images: PMC11099218_01_fmed-11-1375571-g001.jpg
case_images: fig1
case_images: Computed Tomography Venography (CTV) of the portal vein highlighted irregular liver contours, splenomegaly, and evidence of pulmonary hypertension, as illustrated in Figure 1.
case_images: Liver biopsy demonstrating myeloid metaplasia in the patient. A megakaryocyte is highlighted by the arrow, showcasing the presence of myeloid metaplasia. The image includes views at magnifications of 400x and 200x using Hematoxylin-Eosin staining.
case_images: fmed-11-1375571-g002.jpg
case_images: PMC11099218_01_fmed-11-1375571-g002.jpg
case_images: fig2
case_images: A liver biopsy demonstrated sinusoidal hematopoiesis without the presence of cirrhosis, depicted in Figure 2.
case_images: Peripheral blood smear of the patient, with arrows indicating teardrop-shaped red blood cells.
case_images: fmed-11-1375571-g003.jpg
case_images: PMC11099218_01_fmed-11-1375571-g003.jpg
case_images: fig3
case_images: The peripheral blood smear of the patient reveals teardrop-shaped red blood cells with no apparent leukoerythroblastic features, as depicted in Figure 3.
case_images: Combined image of hematoxylin and eosin (HE) staining of bone marrow biopsy at 20x magnification. Clusters of megakaryocytes are indicated by red arrows, while bone marrow fibrosis is highlighted by blue arrows.
case_images: fmed-11-1375571-g004.jpg
case_images: PMC11099218_01_fmed-11-1375571-g004.jpg
case_images: fig4
case_images: Megakaryocytes were readily observed, scattered or clustered, with megakaryocytes showing nuclear hyperchromasia and clustering, as depicted in Figure 4.