20-year-old male patient with mononucleosis infection with hepatitis and thrombocytopenia. Evaluate for splenomegaly. The liver measures 18.3 cm in length. The spleen measures 20.6 cm in length. There is a 2.3 x 2.2 x 2.1 cm ill-defined hypoechoic. solid lesion within the lateral spleen.
1. Splenomegaly.2. Single hypoechoic lesion within the spleen is likely benign in etiology, but non-specific; this may be re-imaged with ultrasound in 6 months to confirm stability. 