Presentation
Left upper quadrant pain and fever.
Patient Data
Age: 70 years
Gender: Male
From the case:
Splenic abscess
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- The spleen is mildly enlarged measuring 13.5 cm. in its maximal cranio-caudal dimension, its shows encapsulated hypodense lesion its mid portion measuring about 9.7 x 6.2 cm. The lesion shows increased peripheral vascularity with no intralesional vascularity is detected.
- A few small hypoechoic lesions are noticed around the aforementioned splenic lesion.
- Small left renal lower zonal about 1.5 x 1.0 cm. is noted; as well as a small right renal mid zonal 1.5 x 1.5 cm. simple cortical cyst is noted as well. Otherwise, normal both kidneys.
From the case:
Splenic abscess
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- Mild splenomegaly with a splenic marginally enhancing cystic lesion about 10 X 7 cm is seen. Smaller marginally enhancing cystic lesions are seen adjacent to the larges splenic cystic lesions.
- A few bilateral renal simple cortical cysts (Bosniak type I).
- Mild prostatic enlargement.
- Small bilateral basal atelectatic bands.
Case Discussion
Splenic well encapsulated hypoechoic as well as marginally enhancing hypodense lesions are consistent with splenic abscesses.
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