[Differential echogenic focal splenic lesion diagnosis]

Echogenic focal lesions of the spleen are rare. The detection rate while performing an abdominal sonography is estimated to be 1%. When found, the examiner is confronted with a differential diagnostic problem. A final diagnosis can not be drawn from a single imaging modality. Gathering the clinical information or follow-up examinations often result in a correct diagnosis. Haemangioma of the spleen is the most common benign lesion. On the other hand, while having a malign disease the most common diagnosis is metastases, however in about 30% of the cases one can find benign lesions.