case_images: PMC6159193_01
case_images: Ultrasound image of spleen showing normal echotexture of spleen without any focal nodular lesions.
case_images: bjrcr.20150238.g001.jpg
case_images: PMC6159193_01_bjrcr.20150238.g001.jpg
case_images: f1
case_images: Abdominal ultrasound scan was unremarkable (Figure 1).
case_images: 18-Fluorodeoxyglucose-positron emission tomography image showing multiple focal fluorodeoxyglucose-avid nodular lesions in spleen.
case_images: bjrcr.20150238.g002.jpg
case_images: PMC6159193_01_bjrcr.20150238.g002.jpg
case_images: f2
case_images: Finally, an 18-fluorodeoxyglucose (FDG)-positron emission tomography (PET)-CT scan was performed, which demonstrated multiple focal areas of abnormally high FDG uptake within the spleen (Figures 2, 3), which were not identifiable on CT scan images (non-contrast CT and contrast-enhanced images) (Figure 4).
case_images: Fused fluorodeoxyglucose-positron emission tomography-CT (axial and coronal) images showing multiple focal fluorodeoxyglucose-avid nodular lesions in spleen.
case_images: bjrcr.20150238.g003.jpg
case_images: PMC6159193_01_bjrcr.20150238.g003.jpg
case_images: f3
case_images: Finally, an 18-fluorodeoxyglucose (FDG)-positron emission tomography (PET)-CT scan was performed, which demonstrated multiple focal areas of abnormally high FDG uptake within the spleen (Figures 2, 3), which were not identifiable on CT scan images (non-contrast CT and contrast-enhanced images) (Figure 4).
case_images: Corresponding contrast-enhanced CT image (axial section at the level of liver and spleen) showing normal splenic parenchyma without any focal nodular lesions.
case_images: bjrcr.20150238.g004.jpg
case_images: PMC6159193_01_bjrcr.20150238.g004.jpg
case_images: f4
case_images: Finally, an 18-fluorodeoxyglucose (FDG)-positron emission tomography (PET)-CT scan was performed, which demonstrated multiple focal areas of abnormally high FDG uptake within the spleen (Figures 2, 3), which were not identifiable on CT scan images (non-contrast CT and contrast-enhanced images) (Figure 4).
case_images: images at the level of liver and spleen not showing any focal lesions in spleen.
case_images: bjrcr.20150238.g005.jpg
case_images: PMC6159193_01_bjrcr.20150238.g005.jpg
case_images: f5
case_images: However, MRI abdomen, including diffusion-weighted images, did not show any nodules in the spleen (Figure 5).
case_images: (a) Haematoxylin and eosin staining, 10x; (b) haematoxylin and eosin staining, 40x: Splenic biopsy showing caseating necrosis surrounded by rim of histiocytes and lymphocytes with some epithelioid transformation, along with scanty karyorrhectic debris.
case_images: bjrcr.20150238.g006.jpg
case_images: PMC6159193_01_bjrcr.20150238.g006.jpg
case_images: f6
case_images: TB were identified on histopathology, as described in Figure 6a,b.