I bet it had Gamna Gandy bodies.
It gives the spleen an unusual course echo texture and is associated with chronic liver disease.
The primary problem here is progressive liver disease which needs to be managed. The liver disease will eventually progress to portal hypertension and this will have to be managed. A TIPPS shunt may be employed if the liver does not decompress through native pathways. The spleen is nothing we can do anything about although it may enlarge as part of the portal hypertension process.
Steve