Calcified splenic cyst

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Chest pain.

Patient Data

Age: 65 years
Gender: Male
x-ray

Heavily calcified well-delineated round opacity in the left upper quadrant.

Heart size normal.  Lungs clear.

Case Discussion

What is your differential for this incidental finding?

Is it inside or outside of the patient?

It is organ derived or not?

A simple film, but one which could raise a good deal of discussion and test the professionalism of approach and knowledge base of a candidate in an exam.

It was, in fact, a long standing incidental benign calcified splenic cyst.

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