Clinical Presentation
A 60-year-old man complains of vague abdominal pain.
Fig. 47.1 (A–C) Noncontrast CT scan of the upper abdomen shows a small, dense spleen, along with small, dense lymph nodes in the upper abdomen.
Radiologic Findings
Noncontrast axial computed tomography (CT) scan shows a small, dense spleen (Fig. 47.1), along with focal specks of hyperdensity in the upper abdominal lymph nodes and liver.
Diagnosis
Thorotrast accumulation in the liver, spleen, and lymph nodes
Differential Diagnosis
- Hemosiderosis
- Autosplenectomy seen in sickle cell disease
Discussion
Background
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