SONOWORLD : Lymphomatous involvement of the spleen

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Abdomen » Spleen

Lymphomatous involvement of the spleen

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Author(s) :

Chaitali Shah, FRCR

Presentation A 22-year-old man presents with axillary and supraclavicular adenopathy. An ultrasound of the abdomen was performed.

Caption: Sagittal scan of the spleen

Description: There is splenomegaly. Multiple hypoechoic areas of varying sizes are seen within the splenic parenchyma.

Caption: Sagittal scan of the spleen at a different level

Description: A large complex appearing lesion is seen within the spleen in this image.

Caption: Transverse scan of the spleen

Description: The largest complex lesion in the spleen is again seen here.

Caption: Color Doppler scan of the spleen

Description: One of the masses shows internal vascularity, indicating the solid nature of the mass. The larger complex lesion also has internal vascularity.

Caption: Color Doppler scan of the spleen

Description: Internal vascularity is noted in many of the splenic masses.

Differential Diagnosis Lymphomatous deposits, metastases, multiple abscesses, multiple hemangiomas

Final Diagnosis Lymphomatous involvement of the spleen

Follow Up This was proved to be Hodgkin’s lymphoma

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