Splenic Abnormalities

by Hetal Verma, MD

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    00:01 So let's move on to splenic abnormalities.

    00:03 It's actually very uncommon to find focal lesions within the spleen.

    00:07 So it's rare to find a splenic abnormality.

    00:09 The most common splenic lesion is a cyst and it's usually an incidentaloma or an incidental finding on a CT.

    00:18 So splenic cyst are well defined.

    00:21 They're smoothly marginated low density lesions that are found within the spleen as you can see right here.

    00:27 There's no enhancement after contrast administration.

    00:30 So what do you see on this image? There's an abnormality adjacent to the spleen.

    00:37 This is also a very common finding and usually found as an incidental finding.

    00:42 So what is that structure right there? It has the same density as the spleen and it's located right next to it.

    00:56 So this is actually a splenule. This is an accessory spleen.

    01:01 It's a very common incidental finding and it's again, a well circumscribed mass that has the same exact density as the spleen.

    01:08 It's found in close proximity to the spleen and often a patient may have multiple splenules that are seen.

    01:14 And again, these are asymptomatic and there's nothing that needs to be done about this.

    01:18 They're just a normal finding that we see on a CT.

    01:21 So we've reviewed multiple abnormalities of the gall bladder and the biliary system.

    01:26 It's important to recognize some of these abnormalities because ultrasound is often performed to evaluate for these.

    01:31 And hopefully this gives you a good background for the next talk.

    About the Lecture

    The lecture Splenic Abnormalities by Hetal Verma, MD is from the course Abdominal Radiology.

    Included Quiz Questions

    1. Is an accessory spleen.
    2. Is a benign splenic cyst.
    3. Needs to be removed.
    4. Is a rare finding.
    5. Is of higher density than the spleen.
    1. These are precancerous lesions.
    2. It is well-defined structures.
    3. There is no enhancement on contrast administration.
    4. It is a low-density lesion seen within the spleen.
    5. They have a smooth margin.

    Author of lecture Splenic Abnormalities

     Hetal Verma, MD

    Hetal Verma, MD

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