Coronal multiplanar reformation CT image acquired during the arterial phase demonstrates the medial (internal) lobe of the spleen (red arrows), extending medially displacing the upper pole of the left kidney (white arrow) downwards and gently indenting posterior aspect of the gastric fundus (black arrow). The upper pole of the right kidney seen higher than its left counterpart. The medial splenic lobe shows the characteristic mottled appearance of splenic parenchyma on arterial phase.