1. Splenic focal lesions as manifestation of sarcoidosis: Characterization with contrast-enhanced sonography.
- Author
-
Pérez-Grueso MJ, Repiso A, Gómez R, Gonzalez C, de Artaza T, Valle J, García A, and Carrobles JM
- Subjects
- Aged, Alkaline Phosphatase blood, Biopsy, Blood Sedimentation, C-Reactive Protein, Diabetes Mellitus, Diagnosis, Differential, Epithelioid Cells pathology, Female, Granuloma complications, Granuloma diagnosis, Humans, Hyperlipidemias complications, Image Enhancement methods, Liver diagnostic imaging, Liver pathology, Phospholipids, Sarcoidosis complications, Sulfur Hexafluoride, Tomography, X-Ray Computed, Ultrasonography, gamma-Glutamyltransferase blood, Contrast Media administration & dosage, Sarcoidosis diagnosis, Spleen diagnostic imaging, Splenic Diseases diagnosis
- Abstract
We report the case of a 74-year-old woman with elevated liver enzyme levels in whom abdominal sonographic examination revealed a diffusely heterogeneous liver parenchyma and multiple hypoechoic subcentimetric splenic nodules. Contrast-enhanced sonography (CEUS) revealed that the splenic focal lesions did not enhance. CT examination revealed a low-density, multinodular pattern both in the liver and in the spleen. Core biopsy of 1 hepatic nodule revealed noncaseating epithelioid cell granuloma, and the patient was diagnosed with systemic sarcoidosis. CEUS has shown to be useful in the diagnosis of focal hepatic lesions, but studies referring to splenic lesions are lacking., ((c) 2007 Wiley Periodicals, Inc.)
- Published
- 2007
- Full Text
- View/download PDF