Presentation
Non-specific left upper quadrant pain. No history of trauma or any previous disease process is provided.
Patient Data
There is a large, partially circumscribed, fluid-density lesion with a thin peripheral wall, that is almost replacing all the splenic parenchyma with relatively spared small parts and resultant secondary splenomegaly. Evidence of a thin internal septum is seen. No internal calcification is seen.
Small left renal lower pole non-obstructing stone. The rest of the abdominal viscera are within normal limits.
Case Discussion
Clinical history and CT findings are more in favor of giant splenic pseudocyst with a less likely differential of cystic neoplasm as described above.
Co-contributor: Dr. Anwar-ul-haq Zadran.