Hello and welcome to HCM,
A number of problems are described by you. I will take each problem separately.
Chronic
lymphocytic leukemia (CLL) is characterized by lymph node enlargement, liver and spleen enlargement.
The multiple lymph nodes and enlarged spleen that you have mentioned is due to CLL.
CLL is managed with chemotherapy. I suggest you consult your
hematologist for management of CLL.
The multiple hypodense lesions in liver need to be assessed for their probable nature.
In case the hypodense lesions are proven to cysts and are asymptomatic, they need to be followed up.
It is not feasible to surgically remove
multiple cysts.
The cause of splenic infarct is probable due to massive enlargement of spleen.
Treatment of CLL will help to resolve splenomegaly and enlarged lymph nodes.
A stone is identified in the ureter which is causing dilatation of kidney and ureter leading o
hydronephrosis and hydro-ureter.
The stone needs to be managed to prevent the ongoing damage to the kidney.
I suggest you to consult an
urologist for clinical assessment and thus management of stone.
Thanks and take care
Dr Shailja Puri