There is significant splenomegaly (22cm) secondary to a large, simple, sharply demarcated, cystic intrasplenic mass lesion measuring 19.8 x 18.0 x 16.1 cm (craniocaudal x oblique anteroposterior x width). The cyst is thin-walled, with a few wall calcifications. There is no abnormal wall or intralesional enhancement, and no suspicious intracystic mass lesion or solid component.
There is a mass effect, with displaced stomach, small bowel, and large bowel with associated mesenteric vessels. The pancreas is compressed ,and displaced towards the right with the abdominal aorta. The left kidney is right of the midline, anteroinferior to the right kidney with an altered polarity. There is expected displaced left ureter on the delayed phase. There is no hydronephrosis or hydroureter bilaterally. The left adrenal gland is poorly identified.
There is an incidental multifiborid uterus with multiple submucosal and subserosal uterine fibroids with hyaline degeneration.
Case courtesy : Dr D.H.Jogi and Dr M.F. Suliman.