The characterization of focal splenic lesions by ultrasound can be quite
challenging. The recent introduction of contrast-enhanced ultrasound (CEUS) has
come to play a valuable role in the field of imaging splenic pathologies,
offering the possibility of an ionizing radiation-free investigation. Because
CEUS has been incorporated into everyday clinical practice, malignant diseases
such as focal lymphomatous infiltration, metastatic deposits, benign cysts,
traumatic fractures, and hemangiomas can now be accurately depicted and
characterized without the need for further imaging. More specifically, splenic
traumatic fractures do not require additional imaging by computed tomography
(with ionizing radiation exposure) for follow-up, because splenic fractures and
their complications are safely imaged with CEUS. In the new era of CEUS, more
patients benefit from radiation-free investigation of splenic pathologies with
high diagnostic accuracy.
infection. We compared other differential diagnostic diseases (inflammatory bowel diseases, peritoneal diseases) to these ultrasonographic and CT manifestations. Conclusion: Tuberculous infection can mimic numerous other disease entities. Although a positive culture of histologic analysis of biopsy specimens is still required in many patients to yield the definite diagnosis, recognition and understanding of the spectrum of imaging features of extrapulmonary tuberculosis can aid in diagnosis.
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