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Imaging of the spleen.
Dr/ ABD ALLAH NAZEER. MD.
Congenital anomalies:
Accessory spleen.
Asplenia, Polysplenia.
Hepatoliennal fusion.
Hyposplenism.
Splenic -gonadal fusion.
Splenorenal fusion.
Wandering spleen.
 Accessory spleen
10-30%. May enlarge dramatically
after splenectomy
Asplenia/polysplenia.
Congenital
Surgical
Functional
Repeated infarctions
Splenic Artery Thrombosis
Acute engorgement
Splenic sequestration crisis with
SS, malaria, splenic vein thrombosis
Infiltration
Sarcoidosis, amyloidosis, cysts, tumors
Etiologies
Polysplenia syndrome.
Axial reconstructions derived from the CT portion of the PET/CT demonstrate the
‘whorled-appearance’ of the long vascular pedicle extending to the ectopic spleen.
The alternating bands of hypodensity and hyperdensity represent the splenic
vessels and surrounding fat of the twisted splenic pedicle. [red arrow = splenic
artery; yellow arrow = pancreas; white arrow = splenic vein; asterisk = spleen]
Wandering spleen
Wandering spleen
Splenic pathology.
Splenic hydatid cyst.
Splenic Lymphoma.
Splenomegally with
portal hypertension
Splenomegally
Grad1 11- 111 laceration.
Grade 111 tear, measuring more than 3 cm.
Grade 1V Tear.
Thank You.

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