• Splenunculus: this represents ectopic splenic tissue of congenital origin they can be single or multiple and are usually found at the splenic hilum they have similar imaging appearances to the spleen • Wandering spleen: this follows laxity of the suspensory ligament torsion may occur • Polysplenia: the spleen is divided into 2–16 masses this is a congenital syndrome associated with situs ambiguous, as well as cardiovascular and visceral anomalies • Asplenia (right isomerism): an absent spleen and multiple anomalies are seen within the abdomen and thorax (e.g. situs ambiguous with right sidedness) • Splenogonadal fusion: congenital fusion of splenic tissue and the gonad (usually left sided) it usually affects males • Bacterial abscesses (staphylococci, streptococci or salmonella): this presents with rim-enhancing collections • Mycobacterium tuberculosis: the miliary form spreads by haematogenous dissemination there can also be splenic infarcts, peritoneal TB, and adenopathy • Fungal infection (candida, aspergillus and cryptococcus): this occurs in immunosuppressed patients it presents with miliary, multifocal low-density lesions demonstrating central high density on CT (‘bull’s eye’ lesions) there can be tiny calcifications present (2–5 mm)
Spleen
MISCELLANEOUS SPLENIC CONDITIONS
NORMAL VARIANTS AND CONGENITAL ANOMALIES
SPLENIC INFECTION