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Incidental splenic lesion

ACR 2013CTMRI
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Incidental splenic lesion on CT or MRI

For incidental splenic lesions on CT or MRI. Benign features end the workup; otherwise prior imaging and cancer history decide the path.

Benign features: homogeneous, low attenuation (<20 HU), no enhancement, smooth margins. These cover cysts and hemangiomas.

Sources

  1. Heller MT, Harisinghani M, Neitlich JD, et al. Managing incidental findings on abdominal and pelvic CT and MRI, part 3: white paper of the ACR Incidental Findings Committee II on splenic and nodal findings. J Am Coll Radiol. 2013;10:833–839.PubMed ↗
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Radessential summarizes published classification systems for practicing radiologists. Summaries are condensed; confirm details against the cited source before relying on them for patient care.