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Current Management of the Splenic Incidentaloma

  • Liver and Gastrointestinal Imaging (J Olpin, Section Editor)
  • Published:
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Purpose of Review

Focal lesions of the spleen are being detected at an ever-increasing rate given the constant improvement in temporal and spatial resolution of computed tomography (CT) and magnetic resonance (MR) imaging. Many commonly encountered benign “incidentalomas” of the spleen present as non-specific lesions that are hypoattenuating relative to the background normal splenic parenchyma on CT. Incidentally detected lesions can lead to increased patient anxiety, while posing challenges in patient management for practicing radiologists and clinicians.

Recent Findings

While the literature regarding incidentally detected splenic lesions has previously been relatively scarce, recent consensus criteria have emerged in recent years that greatly aid in the characterization and management of such lesions. This article discusses the diagnosis and management of incidentally detected splenic lesions based on recently consensus criteria.


This review is intended to aid clinical radiologists in the characterization, differentiation and management of incidentally detected splenic lesions.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Correspondence to Jeffrey Dee Olpin.

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Jeffrey D. Olpin is a section editor for Current Radiology Reports.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Liver and Gastrointestinal Imaging.

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Olpin, J.D. Current Management of the Splenic Incidentaloma. Curr Radiol Rep 5, 23 (2017).

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