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Primary Epidermoid Splenic Cyst
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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. |
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MPX1269_synpic48267: 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
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.
