An 11-year-old teenager came for a second opinion ultrasound after a spleen mass was detected on an abdominal ultrasound because of complaints of abdominal pain.
On ultrasound, the spleen is slightly enlarged, in the middle third of the spleen, a predominantly hypoechoic inclusion with an uneven contour with an anechoic rounded component in the center, at CFM the blood flow is predominantly along the contour of the lesion, up to 18 x 12 x 13 mm in size is visualized.
There is also mesadenitis, thickening of the stomach wall, the appendix is not enlarged.