RT Journal A1 Raman SR, Parithivel VS, Niazi M T1 IMage of the month—quiz case JF Archives of Surgery JO Archives of Surgery YR 2010 FD February 1 VO 145 IS 2 SP 205 OP 205 DO 10.1001/archsurg.2009.279-a UL http://dx.doi.org/10.1001/archsurg.2009.279-a AB A computed tomographic scan showed a 5.5 × 4.5-cm solid area in the spleen (Figure 1) that had grown in size over 3 months. The spleen showed decreased attenuation in the arterial phase. The lesion remained persistently photopenic on nuclear imaging. Despite intensive evaluation, the nature of the splenic neoplasm was not clear. As the patient was symptomatic and the lesion was increasing in size, the patient was scheduled for laparoscopic splenectomy after preoperative immunization.