Calcified Splenic Lesions: Pattern Recognition Approach on CT With Pathologic Correlation

AJR Am J Roentgenol. 2020 May;214(5):1083-1091. doi: 10.2214/AJR.19.22246. Epub 2020 Mar 24.


OBJECTIVE. Incidental splenic lesions, often found on CT images of the abdomen, may often be ignored or mischaracterized. Calcified splenic lesions are often presumed to be granulomas; however, understanding the broader differential diagnostic considerations can be useful. CONCLUSION. Determining the cause of splenic lesions is essential to guide appropriate management; the pattern of calcification together with other imaging and clinical findings can aid with differentiation.

Keywords: calcified lesions; cancer; granulomatous disease; spleen.

MeSH terms

  • Calcinosis / diagnostic imaging*
  • Calcinosis / pathology
  • Contrast Media
  • Diagnosis, Differential
  • Humans
  • Incidental Findings
  • Splenic Diseases / diagnostic imaging*
  • Splenic Diseases / pathology
  • Tomography, X-Ray Computed / methods*


  • Contrast Media