Presentation
Soft tissue splenic mass on US. Referred for further evaluation.
Patient Data
Age: 70 years
Gender: Female
From the case:
Splenic hamartoma
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- An about 65 mm mass is seen in the medial third of the spleen showing inhomogeneous arterial phase enhancement, becoming isointense to the adjacent normal parenchyma in the venous phase.
- About 10 mm lesion in segment II of the liver demonstrating vivid arterial phase enhancement and no washout, suggestive of fast filling hemangioma.
- Other: hepatomegaly, steatosis, splenules, subtle amount of free fluid in the pelvis.
Case Discussion
Findings are in line with splenic hamartoma, though hemangioma also remains a possibility. Due to the rarity of these lesions follow-up was recommended to confirm absence of interval growth.