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Oncologist, radiologist

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X-ray of the spleen

Alexey Portnov, medical expert
Last reviewed: 19.11.2021

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Survey radiography of the abdominal cavity allows you to assess the size of the body, if it can be seen, and reveal in it calcifications.

Sonography is the primary method of studying the spleen. With its help determine the size and shape of the organ, the nature of its contours, the structure of the parenchyma. The important purpose of sonography is the diagnosis of splenomegaly - one of the frequent symptoms of blood disease. Tumor nodes and metastases that can be either hypo- or hyperechoic are quite clearly visible. This method makes it possible to detect subcapsular spleen ruptures, often observed with abdominal injuries.

More detailed information on the state of the spleen can be obtained with the help of CT. This method is characterized not only by a large number of revealed details of the structure of the organ. When a contrast medium is introduced, it contributes to the differential diagnosis of volume lesions. MRI, in contrast to CT, can better diagnose diffuse infiltrative changes in the spleen, which occur, for example, with lymphomas.

Angiography of the spleen is extremely rarely used in the diagnosis of diseases of the spleen. For the diagnosis of portal hypertension, a direct injection of contrast medium into the pulp of the spleen is sometimes used; perform splenenportografiyu. If appropriate equipment is available, one can obtain an image of the splenic vein in the venous stage of arteriography, i.e. To carry out indirect splenoportografiyu.

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