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Case 5.16 

Case 5.16
Chapter:
Case 5.16
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0144
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date: 19 October 2019

68-year-old man with a history of polycythemia vera and a recent episode of pancreatitis, which required endoscopic drainage of a pancreatic pseudocyst with a cystogastrostomy tube

Coronal SSFSE (Figure 5.16.1) and axial fat-suppressed FSE T2-weighted (Figure 5.16.2) images show splenomegaly with a cyst in the posterior spleen. Note also the decreased signal intensity in the liver and spleen due to hemosiderosis from multiple blood transfusions. A round structure in the splenic hilum is bright on T2-weighted images and is surrounded by a small amount of fluid containing a fluid-fluid level. Axial arterial phase and portal venous phase postgadolinium 3D SPGR images (...

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