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case_images: a, b: Contrast-enhanced computed tomography of the abdomen (Coronal Sections) showing mild splenomegaly with multiple hypodense splenic lesions (black arrow).
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case_images: Contrast-enhanced computed tomography of the abdomen showed heterogeneous splenomegaly containing multiple hypodense lesions associated with 13 mm peri-hilar lymphadenopathy, primarily suggesting lymphoma (Fig. 1).
case_images: Cut section of resected splenectomy specimen showing whitish foci of caseous necrosis (black arrows).
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case_images: Macroscopically, the splenectomy specimen contained whitish foci of caseous necrosis (Fig. 2).
case_images: Hemotoxylin and eosin stained section of the spleen showing a significant parenchymal enlargement characterized by a granulomatous inflammatory reaction. The granulomas varied in sizes (black arrow). They were bordered by epithelioid cells (white arrowhead) and multinucleated giant cells (black arrowhead), with central areas of suppurative caseous necrosis (asterisk). Magnification: (a) x20, (b) x200, (c) x400.
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case_images: They were bordered by epithelioid cells and Langhan's multinucleated giant cells, with central areas of suppurative caseous necrosis compatible with tuberculosis (Fig. 3).