C/o left upper quadrant abdominal pain - 15 days. Pain started when he was at high altitude ( Himalaya ).
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SPLEEN is mildly enlarged in size - 13.5 cm long axis. No calcicification is noted.
Most of the splenic parenchyma shows heterogenus echopattern without vascularity.
Few islands of normal parenchyma are noted with preserved vascularity.
Subcapular cystic area with irregular wall ( 45 x 45 x 33 mm ) is noted at upper pole.
No throbosis is noted in splenic vein or artery.
CT - contrast - Similar findings.
Blood test - Sickle cell trait.