PMC10299890_01
Abdominal spiral CT scan with contrast shows a few near together cystic lesions with faint enhancement after administration of contrast (arrows).
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A spiral CT scan of the abdomen with contrast showed a few near together cystic lesions up to 18 mm in the anterosuperior aspect and a hypoattenuated subcapsular lesion measuring 24 mm in the posterior aspect of the spleen with faint enhancement after administration of contrast, suggestive of lymphomatous infiltration (Figure 1).
Cut section of the spleen shows two well-defined multiloculated cystic lesions (arrows).
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Gross sectioning of the spleen showed two multiloculated cystic lesions, the largest measuring 1.5 x 1 x 1 cm and containing some brownish fluid (Figure 2).
Microscopic assessment shows vascular spaces containing pinkish fluid (a) (H&E x 40). The spaces are lined by endothelial cells (b) (H&E x 200).
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Histological examination showed multiple large irregular cystic spaces lined by endothelial cells with smooth pinkish fluid in the lumen and lymphoid aggregation consisting of lymphangiomas (Figures 3(a) and 3(b)).