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Primary Epidermoid Splenic Cyst

Gould CFG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Primary Epidermoid Splenic Cyst

History: 31 y.o. woman with 6 weeks of cough.

Findings: PA and lateral chest radiograph: Vague airspace opacity within the left lung base, which partially silhouettes the left heart border near the apex, representing lingular pneumonia. Additionally, there is an ovoid soft-tissue density with peripheral calcifications seen occupying the left upper quadrant that measures 15.8cm X 12.4cm X 12.9cm, likely representing a calcified splenic cyst. CT abdomen/pelvis: Confirms a large cyst within in the spleen with a thin calcified rim. The spleen is enlarged secondary to cyst. The pancreas and stomach are displaced to the right. The colon is displaced inferiorly. The left kidney is slightly compressed.

Ddx: • Post-traumatic “False-cyst” • True (epidermoid) cyst • Abscess (pyogenic or fungal) • Hydatid cyst • Infarction • Benign neoplastic (Hemangioma, lymphangioma) • Malignancy (lymphoma, metastasis) • Splenic peliosis

Dxhow: Pathology following surgical intervention.

Exam: Non-productive cough, otherwise normal physical exam.

No MeSH data available.


Confirms a large cyst within in the spleen with a thin calcified rim.  The spleen is enlarged secondary to cyst.  The pancreas and stomach are displaced to the right.  The colon is displaced inferiorly.  The left kidney is slightly compressed.
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MPX1269_synpic48266: Confirms a large cyst within in the spleen with a thin calcified rim. The spleen is enlarged secondary to cyst. The pancreas and stomach are displaced to the right. The colon is displaced inferiorly. The left kidney is slightly compressed.


Primary Epidermoid Splenic Cyst

Gould CFG - MedPix (2009)

Confirms a large cyst within in the spleen with a thin calcified rim.  The spleen is enlarged secondary to cyst.  The pancreas and stomach are displaced to the right.  The colon is displaced inferiorly.  The left kidney is slightly compressed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1269&req=5

MPX1269_synpic48266: Confirms a large cyst within in the spleen with a thin calcified rim. The spleen is enlarged secondary to cyst. The pancreas and stomach are displaced to the right. The colon is displaced inferiorly. The left kidney is slightly compressed.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Primary Epidermoid Splenic Cyst

History: 31 y.o. woman with 6 weeks of cough.

Findings: PA and lateral chest radiograph: Vague airspace opacity within the left lung base, which partially silhouettes the left heart border near the apex, representing lingular pneumonia. Additionally, there is an ovoid soft-tissue density with peripheral calcifications seen occupying the left upper quadrant that measures 15.8cm X 12.4cm X 12.9cm, likely representing a calcified splenic cyst. CT abdomen/pelvis: Confirms a large cyst within in the spleen with a thin calcified rim. The spleen is enlarged secondary to cyst. The pancreas and stomach are displaced to the right. The colon is displaced inferiorly. The left kidney is slightly compressed.

Ddx: • Post-traumatic “False-cyst” • True (epidermoid) cyst • Abscess (pyogenic or fungal) • Hydatid cyst • Infarction • Benign neoplastic (Hemangioma, lymphangioma) • Malignancy (lymphoma, metastasis) • Splenic peliosis

Dxhow: Pathology following surgical intervention.

Exam: Non-productive cough, otherwise normal physical exam.

No MeSH data available.