Alfie Kent

PATIENT: Alfie Kent

HISTORY: weight loss, low albumin (mild), high globulin, palpable abdominal mass

Abdominal U/S

SUMMARY:

A large, highly cavitated mass in the region of the spleen is highly likely to be splenic in origin, however sonographically no normal splenic tissue could be located; this may be due to the size of the mass which occupies the majority of the abdomen.  exploratory surgery with a view to probable splenectomy is warranted in this case.  there is no sonographic evidence of metastatic disease currently.

LIVER: Normal

BILIARY TRACT: Normal

SPLEEN: In the location of the spleen, no normal splenic tissue is visualised, however in its place there is a very large highly cavitated mass lesion with well demarcated but very irregular margins, which occupies the majority of the abdominal cavity.

LEFT KIDNEY: Normal

RIGHT KIDNEY: Normal

LEFT ADRENAL: Normal

RIGHT ADRENAL: Not visualised

URINARY BLADDER: Normal

ILIOSACRAL LYMPH NODES: Normal

VISCERAL LYMPH NODES: Normal

STOMACH: Normal

SMALL INTESTINES: Normal

LARGE INTESTINES: Normal

PANCREAS: Normal

GENITAL TRACT: Not applicable

Echocardiography

Not Applicable.

U/S Guided Samples: Results

Not Applicable.

ECG
Not Applicable.

Endoscopy
Not Applicable.

Other

Not Applicable

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