Presentation
Right upper quadrant pain.
Patient Data
Age: 35 years
Gender: Male
From the case:
Intrapancreatic accessory spleen
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Distended gallbladder with thick enhanced wall. Impacted stone (30 mm) in the gallbladder neck with sludge.
Well-circumscribed ovoid nodules of the pancreatic tail isointense to spleen on all sequences (best seen on axial T2 fat sat) with homogeneous enhancement as the splenic parenchyma on post-contrast sequences.
No dilatation of the intra-or extrahepatic biliary radicles (CBD = 6 mm).
Case Discussion
MRI features most consistent with an intrapancreatic accessory spleen (incidental finding) in a patient with acute cholecystitis on impacted stone in the gallbladder neck.
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