41-year-old woman with history of Hodgkin lymphoma status post chemotherapy in 1996, now with incidentally noted splenic lesion. ABDOMEN:LIVER, BILIARY TRACT: A subcentimeter segment 4A cyst is identified. No focal hepatic lesions are seen. The gallbladder is normal.SPLEEN: A well-marginated 54 x 48 mm slightly T2 hyperintense lesion is seen in the spleen, previously 53 x 48 mm. This lesion demonstrates nodular peripheral enhancement with gradual increased central enhancement (i.e., centripetal progression of postcontrast enhancement) on the 3 minute delayed images. The spleen is normal in size.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: A 12 x 11 mm right mid pole renal cyst is noted.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal or mesenteric lymphadenopathy is identified.BOWEL, MESENTERY: The partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Lesion in spleen unchanged in size from the prior examination and most suggestive of an atypical hemangioma or hamartoma. Follow-up in approximately 6 months is recommended to confirm stability.