EURORAD ESR

Case 9033

Inflammatory pseudotumour of the spleen: imaging findings

Author(s)
Carbonetti F, Di Pietropaolo M, Pilozzi E, Di Renzo S, Federici G.F, Sapori A, Iannicelli E.
 
Patient
female, 55 year(s)
 
 
  • Figure 1
    Postcontrast CT

    Rectal mass infiltrating the rectal wall and the surrounding mesorectal fat tissue with lympho node enlargement in mesorectum.

     
    Area of Interest: Pelvis; Imaging Technique: CT;
     
     
  • Figure 2
    Pre- and postcontrast CT
     

    Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also...

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also...

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also...

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 3
    Doppler US
     

    Solid hypo-echoic splenic lesion with shaded edges (a) and hypovascularity (b).

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound;

    Solid hypo-echoic splenic lesion with shaded edges (a) and hypovascularity (b).

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Power Doppler;
     
     
  • Figure 4
    Photomicrograph of histopathological specimen

    Spindle cells immunoreactive for smooth muscle actin.

     
     
     
Rectal mass infiltrating the rectal wall and the surrounding mesorectal fat tissue with lympho node enlargement in mesorectum.
 
Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also present.
 
Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also present.
 
Large and regularly shaped hypodense mass at the inferior splenic pole on unenhanced CT (a), showing poor enhancement after intravenous contrast administration (b; c, coronal MPR). A polypoid gastric lesion is also present.
 
Solid hypo-echoic splenic lesion with shaded edges (a) and hypovascularity (b).
 
Solid hypo-echoic splenic lesion with shaded edges (a) and hypovascularity (b).
 
Spindle cells immunoreactive for smooth muscle actin.
 
 
 
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