Issue: 2020 > April > photo quiz

Splenic incidentaloma



PHOTO QUIZ
H. Fujikawa, T. Matsushita
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CASE REPORT

An 83-year-old man with hepatitis C presented to the hospital for follow-up imaging to monitor a thoracic aortic aneurysm. On examination, he was asymptomatic. Laboratory tests showed bicytopenia. Non-contrastenhanced computed tomography (CT) described no change in size of the thoracic aortic aneurysm but an incidental splenic lesion (figure 1A). Contrast-enhanced CT scan revealed a hypodense, well-defined and mild contrastenhancing lesion in the spleen (figure 1B). 


WHAT IS YOUR DIAGNOSIS?


See page 143 for the answer to this photo quiz.