Ultrasound Imaging: Normal and Abnormal Spleen
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Questions and Answers

What is a likely indication of an old haematoma or scar from trauma in the spleen?

  • Contraction of the splenic outline near the mass (correct)
  • An irregular, hypoechogenic, or complex cystic intrasplenic mass
  • A peri-splenic, subdiaphragmatic, echo-free or complex mass
  • A large, hypoechogenic, complex cystic intrasplenic mass

What is a characteristic feature of a splenic abscess during ultrasound imaging?

  • A large, irregular, hypoechogenic, complex cystic intrasplenic mass
  • A hypoechogenic mass with debris and almost filling the spleen (correct)
  • A collection of fluid around the spleen
  • A peri-splenic, subdiaphragmatic, echo-free or complex mass

What is a possible cause of splenomegaly?

  • Hypoechogenic masses due to lymphoma
  • Metastasis in the spleen from carcinoma of the ovary (correct)
  • A large, complex cystic intrasplenic mass
  • A peri-splenic, subdiaphragmatic, echo-free or complex mass

What ultrasound imaging technique is used to evaluate the spleen?

<p>Longitudinal scan (D)</p> Signup and view all the answers

What is a characteristic feature of a subphrenic abscess during ultrasound imaging?

<p>A peri-splenic, subdiaphragmatic, echo-free or complex mass (B)</p> Signup and view all the answers

What is a possible indication of an old infarct in the spleen?

<p>Contraction of the splenic outline near the mass (D)</p> Signup and view all the answers

What can be a sign of hemangioma in the spleen?

<p>A large, irregular, hypoechogenic, complex cystic intrasplenic mass (B)</p> Signup and view all the answers

What can be an indication of intra-abdominal fluid detection?

<p>A collection of fluid around the spleen (A)</p> Signup and view all the answers

What is a characteristic feature of echinococcal (hydatid) cysts in ultrasound imaging?

<p>Double wall with pericyst and cyst wall, often septate (A)</p> Signup and view all the answers

Which condition should be suspected if a longitudinal scan shows a septate cyst in the spleen?

<p>Cystic disease (C)</p> Signup and view all the answers

What could cause hepatosplenomegaly seen on a transverse ultrasound scan?

<p>Leukemia (A)</p> Signup and view all the answers

Which pathology is identified by a markedly enhanced back wall echo in a cyst on an ultrasound?

<p>Hydatid cyst (A)</p> Signup and view all the answers

What is indicated by gross splenomegaly compressing the left kidney on a longitudinal scan?

<p>Leishmaniasis (C)</p> Signup and view all the answers

Which feature is most indicative of a well-defined cystic lesion in the spleen?

<p>Echo-free mass with posterior acoustic enhancement (A)</p> Signup and view all the answers

What should be examined when multiple cysts are found in the spleen?

<p>Liver and pancreas (B)</p> Signup and view all the answers

What kind of splenic lesion might present with hemorrhage and solitary structures on ultrasound?

<p>Congenital cyst (A)</p> Signup and view all the answers

Which anatomical feature does the spleen not possess?

<p>Three surfaces (C)</p> Signup and view all the answers

What type of capsule encloses the spleen and is prone to rupture?

<p>Thin capsule (B)</p> Signup and view all the answers

Which ribs protect the spleen?

<p>9th to 11th ribs (C)</p> Signup and view all the answers

Which of the following measurements typically describes the average adult spleen?

<p>2.5 cm thick, 7.5 cm broad, 12.5 cm in length (B)</p> Signup and view all the answers

Which quadrant of the abdomen does the spleen lie in?

<p>Left upper quadrant (A)</p> Signup and view all the answers

Which of the following would NOT be a likely cause of splenomegaly?

<p>Hemorrhage (A)</p> Signup and view all the answers

What role does the spleen play in the body?

<p>Storage of red blood cells (A)</p> Signup and view all the answers

Which is TRUE about the spleen's covering?

<p>It is completely covered by peritoneum except at the hilum (B)</p> Signup and view all the answers

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