7th April 2024

A 47-year-old lady presents to her GP with a goitre

A 47-year-old lady presents to her GP with a goitre. On further questioning, she reports of hair loss and unintentional weight loss for the last two months. Full examination reveals mild splenomegaly. There is no lymphadenopathy, evidence of anaemia or liver disease. Routine bloods reveal normal full blood count. The rest of the blood results are pending. What is the most likely cause of splenomegaly in this case?

Select the SINGLE most appropriate option from the list below. Select ONE option only.