CTICasesIntrathoracic Splenosis post-Shotgun Injury
Imaging findings
Radiograph and CT in a patient with a history of a close-range shotgun wound to the abdomen show multiple left pleural and subcutaneous nodules. Scintigraphy confirmed splenosis, avoiding a biopsy for suspected mesothelioma.
Key takeaways
Intrathoracic splenosis can mimic pleural malignancies like mesothelioma or metastatic disease on CT. A history of left-sided abdominal trauma or splenectomy is a key clue, and diagnostic confirmation should be achieved using splenic scintigraphy.
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