PMC6393913_01
Axial contrast-enhanced computed tomography (CT) image. A large hypointense pseudocyst fills out nearly the entire spleen (red arrow), while a smaller component of the pseudocyst is located in the pancreatic tail (blue arrow). The already histologically proven adenocarcinoma is partially visible as a thickened and hypodense area of the pancreatic corpus (white arrow).
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fig1
Computed tomography (CT) and magnetic resonance imaging (MRI) scans showed an intrasplenic cyst (Figure 1) with a size of 14 x 13 x 16 cm.
Axial (a) and coronal (c) contrast-enhanced CT images of the splenic pseudocyst before drainage placement and corresponding CT images (b, d) two days after the placement of the gastrocystic drainage. The pigtail drainage is marked with a black arrow. Note the reduction of size of the pseudocyst after drainage placement. A hypodense liver metastasis is seen in the left liver lobe in both axial images.
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fig2
A CT scan and ultrasound showed shrinkage of the cyst and air in the parenchyma of the spleen as the organ returned to its typical shape (Figure 2).