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The diagnosis of littoral cell angioma should be suspected when multiple hypodense nodules are seen in a patient with splenomegaly and hypersplenism.
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However, abdominal CT scan demonstrated two masses beside abdominal aorta, multiple intra-hepatic hypodense nodules, and retroperitoneal lymph nodes enlargement, all enhanced with contrast media.
Figure 3a shows splenic sarcoidosis in a nodular pattern; the nodules (black arrowheads) are revealed as small hypodense nodules on contrast-enhanced CT images.
b CT, axial unenhanced image shows multiple hypodense foci throughout the liver.
On CT images, lesions are generally revealed as small hypodense nodules after contrast administration (Fig. 3); nodules can be larger than 1 cm in size, with a tendency to confluence (Fig. 4).
Open image in new window Fig. 12 Abdominal contrast-enhanced CT shows multiple hypodense lesions in the spleen (black arrows).
Computed tomography (CT) scan demonstrated hypodense nodules that were immediately enhanced in the early phase and quickly de-enhanced in the late phase after injection of contrast (Table 2 and Figure 1).
Open image in new window Fig. 12 Multiorgan sarcoidosis, with multiple hypodense lesions in the renal parenchyma (white arrows in Fig. 12a c).
a CT image shows multiple hypodense and hypovascular areas of infarction (white arrows) following a pancreaticoduodenectomy. b CT image 4 weeks later in the same patient.
Multiple hypodense confluent areas localized in the supratentorial white matter as a result of chronic ischemic cerebral disease were evident as well.
Spleen involvement by CT is based on an enlarged spleen and/or hypodense nodules.
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