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Figure 9


Fig. 2D —70-year-old woman with intrapancreatic accessory spleen (patient 4). Serial contrast-enhanced agent detection imaging (ADI software, Siemens Medical Solutions) sonograms, obtained 23 seconds (upper left), 37 seconds (upper right), 84 seconds (lower left), and 4 minutes (lower right) after contrast administration, show early heterogeneous enhancement (upper), late homogeneous enhancement (lower left), and delayed homogeneous and prolonged enhancement (lower right). Intrapancreatic accessory spleen (arrow) shows almost same echogenicity to main spleen (S) on all contrast-enhanced sonography phases. Both intrahepatic accessory spleen and main spleen show higher echogenicity than pancreas on all contrast-enhanced sonography phases.