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Updated: Aug 18, 2026

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
Published on: September 22, 2023
Contrast-enhanced sonography of the spleen
Orlando Catalano1, Fabio Sandomenico, Iolanda Matarazzo
1Department of Radiology, S. Maria delle Grazie Hospital, Via Domitiana Località La Schiana, Pozzuoli (Na) I-80078, Italy.
Objective:
Combined use of low-mechanical-index technologies and non-air-filled contrast media allows real-time sonographic assessment of the spleen. This pictorial essay focuses on several aspects of contrast-enhanced sonography of the spleen, including examination technique, clinical indications, normal findings obtained through all vascular phases, abnormal findings (splenomegaly, infarction, abscess, benign tumors, lymphoma, metastasis, injuries, and accessory spleen), limitations, and pitfalls.
Conclusion:
Real-time, contrast-enhanced sonography is a novel technique allowing depiction of a wide range of splenic abnormalities.
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