Heat-damaged RBC scan: a case of intrahepatic splenosis

Intrahepatic splenosis results from autotransplantation of splenic tissue within the liver, usually after splenic trauma or splenectomy. We present a case of a 43-year-old male patient with an incidental liver lesion discovered on abdominal ultrasound. The diagnosis of intrahepatic splenosis was considered after CT and MRI before being definitively made with Tc-labeled heat-damaged RBC scintigraphy. The case report illustrates the imaging characteristics of this rare location of abdominal splenosis.