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DOI:10.2214/AJR.05.0032
AJR 2006; 186:1097-1102
© American Roentgen Ray Society

Clinical Observations

MRI Features of Focal Splenic Lesions in Patients with Disseminated Tuberculosis

Adelard I. De Backer1,2, Filip M. Vanhoenacker1, Koenraad J. Mortelé3, Ilse J. Vanschoubroeck4, Bart L. De Keulenaer4,5 and Paul M. Parizel1

1 Department of Radiology, Universitair Ziekenhuis Antwerpen, University of Antwerp, B-2650 Edegem, Belgium.
2 Present address: Department of Radiology, General Hospital Sint-Lucas, Groenebriel 1, Ghent B-9000, Oost-Vlaanderen, Belgium.
3 Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
4 Department of Internal Medicine, Ziekenhuisnetwerk Antwerpen, B-2060 Antwerp, Belgium.
5 Present address: Intensive Care Unit, Royal Darwin Hospital, Rocklands, Tiwi, Northern Territory, Australia.

OBJECTIVE. The aim of this study is to describe the MRI features of focal splenic lesions in patients with disseminated tuberculosis.

CONCLUSION. Tuberculous focal splenic lesions are small, multiple, and most often associated with splenomegaly. Signal intensities vary on both T1- and T2-weighted images. Two different enhancement patterns are noted: peripheral enhancement and gradual peripheral enhancment with complete fill-in.

Keywords: abdominal imaging • MRI • spleen • splenomegaly • tuberculosis


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