Conversation: The conversation between human and AI assistant.
[|Human|] Hi my father is having fever for the past 16 days. Doctors have permormed many tests and now after CT scan they said enlarged liver with reduced perenchymal ecotexture and spleen (18cm)(hepatospenomegaly) with multiple lymphonodes and right suprarenal mass. They are now testing for TB.. Please suggest how serious is this? His monocytes came as 14. he also has fatty liver and use to drink alcohol occassionaly but he was addicted to cigarretes 2 years back.
[|AI|]  HelloThanks for writing to Chat Doctor There are many causes for hepatosplenomegaly with enlarged lymph nodes. He needs contrast CT Scan of abdomen, and it can exclude many conditions. T. B lymphadenopathy has typical feature like necrosis and matting. For confirmation FNAC and blood investigations can be done. Suprarenal mass evaluation needs clinical examination, biochemical assessment and CT guided FNAC. Fatty liver is reversible stage, and it is treated by diet, lifestyle modification and medicines. Treatment depends upon clinical findings and investigation reports. Take Care Chat Doctor.