A 29-year-old man is evaluated in hospital. His father had a history of “anemia” treated with splenectomy and cholecystectomy. MCV is 85 fL. Hemoglobin is 14 g/dL. MCHC is elevated. The patient has a diagnostic modality performed that is abnormal. Below is an imaging result using the same modality from a healthy individual.
Which of the following most likely explains the patient’s abnormal diagnostic result?
A) Coombs test positivity
B) Gallstone ileus
C) Gallstone pancreatitis
D) Increased erythrocyte turnover
E) Increased HbS
