title: Thoracic splenosis: noninvasive diagnosis using Technetium-99 sulfur colloid.
abstract: Splenosis is the autotransplantation of splenic tissue to abnormal sites, either the abdomen or thorax, following traumatic injury of the spleen. For splenic tissue to reach the thorax, there must be concomitant diaphragmatic injury. Thoracic splenosis is usually discovered incidentally on routine thoracic imaging as single or multiple, indeterminate pleural-based masses limited to the left hemithorax. Traditionally, diagnosis required invasive procedures and/or surgery to acquire tissue samples in order to rule out other causes of lung masses, ie, cancer. We report a case in which nuclear imaging was used to make the diagnosis of thoracic splenosis, thus preventing the need for invasive procedures and avoiding unnecessary patient apprehension.
authors.affiliation: Stamford Hospital, Department of Medicine, Stamford, CT 06902, USA.
authors.forename: Viraj V
authors.initials: VV
authors.lastname: Bhalani
authors.forename: Harvey
authors.initials: H
authors.lastname: Hecht
authors.forename: Paul
authors.initials: P
authors.lastname: Sachs
authors.forename: Michael
authors.initials: M
authors.lastname: King
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D006801:Humans; D008297:Male; D009049:Motorcycles; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017890:Splenosis / Q000000981:diagnostic imaging*; D013671:Technetium Tc 99m Sulfur Colloid; D013898:Thoracic Injuries / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000150:complications
chemical_list: D019275:Radiopharmaceuticals; D013671:Technetium Tc 99m Sulfur Colloid