Case 165:   Splenosis (extrahepatic)

Diagnostic Category:

Clinical Presentation:

54 year old tetraplegic man with hepatitis C and history of abdominal trauma sustained in a combat situation many years ago. Incidental hypoechoic liver mass seen on screening ultrasound. AFP was normal.

CT: Extrahepatic

Imaging Findings:

CT shows arterial and portal venous enhancement of the well defined mass in liver segment 6, which is identical to splenosis in the left upper quadrant, aiding in the diagnosis of "perihepatic" splenosis.