Presentation
Mass above the left kidney view on an ultrasound examination (images not available). Previous history of splenectomy.
Patient Data
Age: 56
Gender: Male
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There is a rounded homogeneous solid mass in the splenic topography that follows similar contrast enhancement as the liver and is in keeping with an enlarged accessory spleen.
Case Discussion
It is a compensatory increase of an accessory spleen after splenectomy. As the patient has an history of splenectomy, the medical sonographer questioned the presence of a rounded mass located above the left kidney: accessory spleen increased or adrenal nodule?