The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis

Cross-sectional imaging of the upper abdomen, especially if intravenous contrast has been administered, will most likely reveal any acute or chronic disease harbored in the spleen. Unless imaging is performed with the specific purpose of evaluating the spleen or characterizing a known splenic lesion...

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Main Authors: Sofia Gourtsoyianni, Michael Laniado, Luis Ros-Mendoza, Giancarlo Mansueto, Giulia A. Zamboni
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/12/2120
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author Sofia Gourtsoyianni
Michael Laniado
Luis Ros-Mendoza
Giancarlo Mansueto
Giulia A. Zamboni
author_facet Sofia Gourtsoyianni
Michael Laniado
Luis Ros-Mendoza
Giancarlo Mansueto
Giulia A. Zamboni
author_sort Sofia Gourtsoyianni
collection DOAJ
description Cross-sectional imaging of the upper abdomen, especially if intravenous contrast has been administered, will most likely reveal any acute or chronic disease harbored in the spleen. Unless imaging is performed with the specific purpose of evaluating the spleen or characterizing a known splenic lesion, incidentally discovered splenic lesions pose a small challenge. Solitary benign splenic lesions include cysts, hemangiomas, sclerosing angiomatous nodular transformation (SANT), hamartomas, and abscesses, among others. Sarcoidosis and tuberculosis, although predominantly diffuse micronodular disease processes, may also present as a solitary splenic mass lesion. In addition, infarction and rupture, both traumatic and spontaneous, may take place in the spleen. This review aims to describe the imaging features of the most common benign focal splenic lesions, with emphasis on the imaging findings as these are encountered on routine cross-sectional imaging from a multicenter pool of cases that, coupled with clinical information, can allow a definite diagnosis.
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spelling doaj.art-8170f1bbb985442093b2107a159a19ce2023-11-18T10:01:21ZengMDPI AGDiagnostics2075-44182023-06-011312212010.3390/diagnostics13122120The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive DiagnosisSofia Gourtsoyianni0Michael Laniado1Luis Ros-Mendoza2Giancarlo Mansueto3Giulia A. Zamboni41st Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Areteion Hospital, 76, Vas. Sophias Ave., 11528 Athens, GreeceInstitute and Policlinic for Diagnostic and Interventional Radiology, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Radiology, Miguel Servet University Hospital, Paseo Isabel la Católica 1-3, 50009 Zaragoza, SpainIstituto di Radiologia, DAI Patologia e Diagnostica, Policlinico GB Rossi, AOUI Verona, 37134 Verona, ItalyIstituto di Radiologia, DAI Patologia e Diagnostica, Policlinico GB Rossi, AOUI Verona, 37134 Verona, ItalyCross-sectional imaging of the upper abdomen, especially if intravenous contrast has been administered, will most likely reveal any acute or chronic disease harbored in the spleen. Unless imaging is performed with the specific purpose of evaluating the spleen or characterizing a known splenic lesion, incidentally discovered splenic lesions pose a small challenge. Solitary benign splenic lesions include cysts, hemangiomas, sclerosing angiomatous nodular transformation (SANT), hamartomas, and abscesses, among others. Sarcoidosis and tuberculosis, although predominantly diffuse micronodular disease processes, may also present as a solitary splenic mass lesion. In addition, infarction and rupture, both traumatic and spontaneous, may take place in the spleen. This review aims to describe the imaging features of the most common benign focal splenic lesions, with emphasis on the imaging findings as these are encountered on routine cross-sectional imaging from a multicenter pool of cases that, coupled with clinical information, can allow a definite diagnosis.https://www.mdpi.com/2075-4418/13/12/2120spleenbenignsolitaryMRICT
spellingShingle Sofia Gourtsoyianni
Michael Laniado
Luis Ros-Mendoza
Giancarlo Mansueto
Giulia A. Zamboni
The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
Diagnostics
spleen
benign
solitary
MRI
CT
title The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
title_full The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
title_fullStr The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
title_full_unstemmed The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
title_short The Spectrum of Solitary Benign Splenic Lesions—Imaging Clues for a Noninvasive Diagnosis
title_sort spectrum of solitary benign splenic lesions imaging clues for a noninvasive diagnosis
topic spleen
benign
solitary
MRI
CT
url https://www.mdpi.com/2075-4418/13/12/2120
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