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Cystic lesions of the spleen

Differential diagnosis

The differential for a cystic lesion of the spleen is relatively limited:

Classification

Splenic cysts can be broadly subtyped into three categories 4:

True cysts 
  • wall calcification uncommon  ≈ 15%
  • wall trabeculations/septations common  ≈ 85%
False/pseudocysts
  • wall calcification common  ≈ 50%
  • wall trabeculations / septations uncommon ≈ 15%
Echinococcal cysts

See related article: hydatid disease


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