A 63-year-old man complains of fatigue, general malaise, and weight loss.

Fig. 43.1 (A,B) Axial contrast-enhanced CT images of the abdomen show multiple small, hypodense nodular lesions scattered within a normal-sized spleen. No lesions are seen in the liver. There is no evidence of abnormal lymphadenopathy or fluid collection.

Splenic sarcoidosis

• Lymphoma
  
• Metastases
  
• Infection
  
• Littoral cell angiomas