I have checked with my online resources and find this particular item does not.
However, please click on the following to view a suggestion:sears.com/medline-mdtmtan56xu-mens-work-pants-tan-size-56/p-SPM736353401?prdNo=6&blockNo=6&blockType=G6
Let me help you with the contact number of the merchant who sells this Medline pants so that you can contact and check if they have this pant in size 46 to 54 or not.
You can contact our merchant at 888-657-8436 and also via email at firstname.lastname@example.org.
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