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</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</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</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</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</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</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</p> Signup and view all the answers

    What could cause hepatosplenomegaly seen on a transverse ultrasound scan?

    <p>Leukemia</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</p> Signup and view all the answers

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

    <p>Leishmaniasis</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</p> Signup and view all the answers

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

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

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

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

    Which anatomical feature does the spleen not possess?

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

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

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

    Which ribs protect the spleen?

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

    Which quadrant of the abdomen does the spleen lie in?

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

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

    <p>Hemorrhage</p> Signup and view all the answers

    What role does the spleen play in the body?

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

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