Bilobate (aka bipartite or bilobed) splenic organs are quite rare and are mostly congenital and mostly asymptomatic. In this illustration, the patient had no previous history of radiological imaging or trauma and presented for other unrelated clinical symptoms of which targeted abdominal ultrasound yielded:

• Biliary duct ectasia with mildly thick walled gallbladder outline with intra-luminal tumefactive sludge minimally adherent within it's posteromedial lumen
• Small multiple scattered intra-hepatic hypoechoic lesions suggesting infarcts or hepatic micro-abscesses
• Small sized simple hepatic parenchymal cysts.
• Minimal ascites
• Moderate left sided pleural effusion with left basal lung consolidation and peripherally distributed miniature basal lobe air-bronchograms ipsilaterally.