That spleenomegaly is not unusual in cases of CVID. The spleen is essentially a big lymph node, and if your body is fighting infection, it can kick in to high gear. Obviously, having had four bouts of pneumonia this year, it's been working overtime.
Also, the hematologist is also an oncologist, a cancer doctor, and works at a cancer center. One of the problems of living in a semi-rural area is a dearth of specialists.
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