First published on SonoWorld
A young man presented with a tender mass in the left upper quadrant. An abdominal ultrasound was performed.
Lymphoma, splenic abscess
Lymphomatous infiltration of the spleen is usually seen as discreet, usually hypoechoic, masses within the spleen. In this rather advanced case, the lymphomatous tissue has essentially replaced the splenic tissue creating a large and complex mass. The presence of enlarged hypoechoic nodes in the area supports the initial impression of lymphonatous infiltration of the spleen.
An ultrasound guided FNA was performed which confirmed the lymphomatous infiltration. The patient subsequently also developed a massive pleural effusion due to lymphomatous pleural deposits.