title: Upside-down spleen as cause of suprarenal mass.
abstract: An upside-down configuration of the spleen can be mistaken for a left suprarenal mass. A radioisotopic liver-spleen scan will demonstrate a characteristic appearance of the spleen with its hilus superiorly and its convex border medially and adjacent to the kidney. When a left suprarenal mass is identified, we advocate the liver-spleen scan as the first step in the diagnostic workup. If the typical configuration is found, no further studies are necessary.
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014463:Ultrasonography