Approach to splenic masses Quiz: Ace Your Exams
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A 61-year-old man presents to the primary care clinic for evaluation of vague left upper abdominal discomfort for two weeks. The patient describes an intermittent dull ache without any identifiable exacerbating or alleviating factors. There is no recent trauma, travel, weight loss, night sweats, chest pain, or shortness of breath. Past medical history is significant for cirrhosis due to non-alcoholic fatty liver disease, coronary artery disease, peripheral arterial disease, and portal hypertensive gastropathy. Current medications include aspirin, atorvastatin, furosemide, lactulose, pantoprazole, and propranolol. The patient does not use alcohol, tobacco, or illicit drugs. Vital signs are within normal limits. On physical examination, there is left upper quadrant abdominal tenderness to palpation, but no palpable mass is noted. Computer tomography (CT) imaging of the abdomen is ordered. Which of the following findings is most likely to be observed on CT imaging?
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