PMC2841811_01
Ultrasound abdomen showing multiple hypoechoic lesions in the spleen
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Ultrasound abdomen this time revealed mild splenomegaly with multiple hypoechoic areas (the largest one measuring 19 x 15 x 10 mm3, at lower part) [Figure 1].
Photomicrograph of splenic abscess cytology showing epitheloid cells, lymphocytes and areas of caseous necrotic background suggestive of tuberculosis (H and E, x200)
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Ultrasound-guided fine needle aspiration cytology (FNAC) of splenic lesion revealed the collection of inflammatory cells including epitheloid cells, lymphocytes, multinucleated giant cells with extensive caseous necrosis; but no acid-fast bacilli [Figure 2].