PMC3634208_01
Axial contrast enhanced computerised tomography shows irregular hypodence peripherally enhancing lesions in spleen, fluid in anterior perihepatic space
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F1
Tomography showed irregular hypo dense peripherally enhancing lesions in spleen, and fluid in anterior perihepatic space suggestive of splenic abscess [Figure 1].
Tuberculous spleen-epitheloid cell granulomas, cells shows sleeper sole shape vesicular nuclei and abundant cytoplasm (FNAC, x40, MGG)
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F2
The computed tomography (CT) guided fine needle aspiration biopsy from hypo echogenic area of spleen was performed. The cytomorphology showed granulomas with area of caseation in the centre surrounded by variable number of langhans giant cells and epitheloid cells favouring diagnosis of tuberculosis [Figure 2].