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Figure 4


Fig. 1D —45-year-old man with intrapancreatic accessory spleen detected incidentally during workup for small-bowel submucosal tumor (patient 1). Serial contrast-enhanced agent detection imaging (ADI software, Siemens Medical Solutions) sonograms, obtained 34 seconds (upper left), 101 seconds (upper right), and 4 minutes (lower images) after contrast injection, show homogeneous enhancement of intrapancreatic accessory spleen (arrows) on postvascular phases (upper images) and delayed prolonged enhancement (arrow) on hepatosplenic parenchymal phase (lower left). Degree of enhancement of intrapancreatic accessory spleen (arrow, lower left) on hepatosplenic parenchymal phase is similar to that of main spleen (S). LK = left kidney.





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