Question 2611
{"accessible":true,"alternatives":[{"id":12810,"text":"hemangioma"},{"id":12825,"text":"hamartoma"},{"id":12811,"text":"Littoral cell angioma"},{"id":12812,"text":"lymphoma"},{"id":12813,"text":"sclerosing angiomatoid nodular transformation of the spleen (SANT)"}],"archived":false,"correctAlternativeId":12813,"explanation":"\u003cp\u003eThe answer is \u003ca href=\"/articles/sclerosing-angiomatoid-nodular-transformation-of-the-spleen\" title=\"Sclerosing angiomatoid nodular transformation of the spleen\"\u003esclerosing angiomatoid nodular transformation of the spleen (SANT)\u003c/a\u003e as it is one of the few focal splenic lesions with intrinsic T2 hypointensity a differential diagnosis would be inflammatory pseudotumor. \u003c/p\u003e\u003cp\u003eLittoral cell angiomas can contain hemosiderin and therefore be T2 hypointense but this is seen more commonly in SANT.\u003c/p\u003e\u003cp\u003eSANT will also show progressive \"spoke-wheel\" type enhancement post-contrast.\u003c/p\u003e","id":2611,"imageUrl":"https://prod-images-static.radiopaedia.org/images/54151292/ESAM_MOHAMMAD.Seq6.Ser14.Img26_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":85562},"imageAttributionCaseInfo":{"title":"Sclerosing angiomatoid nodular transformation of the spleen (SANT)","contributor_name":"Mohamed Saber","contributor_param":"saber","case_rid":85562,"case_param":"sclerosing-angiomatoid-nodular-transformation-of-the-spleen-sant"},"firstQuestionPath":"/questions/2612","nextQuestionPath":null,"relatedArticles":[{"id":12455,"title":"Littoral cell angioma of the spleen","link":"/articles/littoral-cell-angioma-of-the-spleen?lang=us"},{"id":19383,"title":"Splenic hamartoma","link":"/articles/splenic-hamartoma?lang=us"},{"id":28465,"title":"Sclerosing angiomatoid nodular transformation of the spleen","link":"/articles/sclerosing-angiomatoid-nodular-transformation-of-the-spleen?lang=us"}],"alsoUsedIn":[{"id":1730,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1730","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1730"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":287,"kind":"LiveSchedule","title":"287","link":"https://radiopaedia.org/admin/live_schedules/287"},{"id":1488,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1488","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1488"},{"id":1488,"kind":"Course","title":"Abdominal Lectures - page 1488","link":"https://radiopaedia.org/courses/abdominal-lectures/pages/1488"}],"stem":"\u003cp\u003eBased on this T2 weighted fat sat image, what is the most likely diagnosis of this solitary solid splenic lesion?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2611"}],"attemptsPercentages":[{"alternativeId":"12813","percentage":76},{"alternativeId":"12810","percentage":10},{"alternativeId":"12811","percentage":2},{"alternativeId":"12825","percentage":8},{"alternativeId":"12812","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"splenic-hemangioma"}