Multiple splenic masses were seen during a right upper quadrant ultrasound for symptomatic gallstones and were further evaluated by a CT scan as shown. The lesions were negative on PET scan. Patient did not wish to have a splenectomy or percutaneous biopsy and is therefore followed by regular imaging. Lesions have remained unchanged, and patient is asymptomatic. Source: Chapter 62. The Spleen, Maingot's Abdominal Operations, 12e Citation: Zinner MJ, Ashley SW. Maingot's Abdominal Operations, 12e; 2013 Available at: http://accesssurgery.mhmedical.com/DownloadImage.aspx?image=/data/books/zinn12/zinn12_c062f012.png&sec=41816969&BookID=531&ChapterSecID=41808854&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved