Thoracic splenosis

Case contributed by Stefan Tigges


Shortness of breath, prior gun shot chest/abdomen.

Patient Data

Age: 40 years
Gender: Female

Right internal jugular catheter tip in the superior vena cava, no pneumothorax. Lobulated left apical pleural-based mass, mild left pleural thickening. Bullet fragment projects over lower thoracic spine.


Bullet fragment within the T9 vertebral body. Diffuse nodular thickening left pleura with a small spleen. Multiple soft tissue nodules left upper lateral abdominal wall.

Case Discussion

The lower thoracic/upper abdominal findings have been stable for over four years compared to a prior abdominal CT scan (not shown). There was no history of malignancy. Given the known prior gunshot injury, a presumptive diagnosis of splenosis involving the left pleura and left abdominal wall was made.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.