A 34-year old female presents to the emergency department at 2 am with abdominal pain that has been occurring intermittently for 5 years with associated occasional diarrhea. The symptoms get worse during periods of stress. Aside from a feeling of mild pressure with deep palpation of the abdomen, the physical examination is negative. A CT of the abdomen pelvis is ordered and it was read as negative except for the following findings.
For a full-size image, please click CT Abdomen 1 .
1- What two conditions are seen in the image above?
A- Metastatic disease
B- HIV infection
C- Old Granulomatous disease
D- Accessory spleen (splenule)
E- Answer choices C and D
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