Presentation
Known hematological disease, presents with left hypochondrial pain.
Patient Data
Pre and post contrast axial images through the abdomen demonstrate the spleen to be enlarged and heterogeneous in density with numerous areas of low density which do not enhance.
The spleen is enlarged, but no enlarged lymph nodes are visible. The liver appears enlarged, but is otherwise normal. Patchy dependent lung changes are present, more so on the right.
Pre and post contrast axial images through the abdomen demonstrate the spleen to be enlarged and heterogeneous in density with numerous areas of low density which do not enhance (blue arrows), consistent with infarction.
Case Discussion
This case illustrates typical appearances of splenic infarction in the setting of sickle cell anemia.