http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2011/09/Cases/Localized-splenic-malignant-mesothelioma.aspx<p>An 82-year-old man with a history of hypertension presented for routine ultrasound surveillance of a known abdominal aortic aneurysm. Incidentally noted was a solid, hypoechoic mass interposed between the spleen and superior aspect of the left kidney. The patient was referred for surgical evaluation. On clinical examination, he was asymptomatic without gross hematuria, left flank pain, weight loss, bony pain, or abdominal distention. There was no family history of renal cell carcinoma. The only medication he took was Atenolol. His surgical history was limited to pilonidal cyst excision. The patient was a retired corporate executive with a 20 pack-year history of smoking and no known asbestos exposure. His vital signs were: afebrile, pulse 80 bpm, blood pressure 132/74 mmHg, and respiration 20. On physical exam his abdomen was soft, with a palpable aneurysm. No fluid wave or costovertebral angle tenderness was present. Urinalysis was negative for blood and leukocytes.</p>Tuesday, 30 Aug 2011 10:27:08 GMT