PMC6355617_01
Ultrasonography image (A) demonstrating hypo-echoic peripheral area (asterisk) in the enlarged spleen. Contrast enhanced CT Abdomen: axial (B) and coronal (C-D), demonstrating enlarged spleen (14 cm in craniocaudal dimension) with several peripheral hypo-dense regions (arrows) compatible with splenic infarction.
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Due to his non-specific systemic symptoms and elevated aminotransferases, ultrasound and contrast enhanced CT scan of the abdomen were done which showed hepatosplenomegaly and features suggestive of acute splenic infarction (Fig. 1).