Splenomegaly and infarcts
Dr. Bruno Sagastegui Aguilar
- Case name: SPLENOMEGALY and INFARCTS.
- Author's name: Dr. Bruno Sagástegui Aguilar.
- Author's job position: Work center: SONOSCAN Ultrasound Center (Private) and TOMONORTE Diagnostic Imaging Center (Private) Trujillo – PERU.
- Clinical and examination: A 35-year-old female patient presents pain in the left flank, feeling a "bulge" below the costal margin when taking a deep breath. The patient has been diagnosed with infectious mononucleosis. The attending physician requests a hepatobiliary ultrasound. She denies other symptoms. She has no history of surgery or trauma.
- Ultrasound findings: An enlarged spleen is seen with the presence of 2 avascular hypoechoic lesions with slightly irregular edges and a fine echogenic halo within which fine hyperechoic lines (reflective-specular) perpendicular to the ultrasound beam are identified (bright band sign). Both are wedge-shaped in the sagittal section and oval-shaped in the axial section, located in the middle third. (Images 1 and 2 – Videos 1 to 3)
- Diagnosis: The findings are compatible with an enlarged spleen with the presence of infarcts.
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