Question: A 77-year-old woman was referred for continuous left upper quadrant abdominal pain and a hypointense splenic mass on T2-weighted magnetic resonance imaging sequences of the spine, ordered for suspicion of degenerative disc disease. Clinical examination and bloodwork were normal. Her history was relevant for abdominal contusion during a car crash 30 years ago, but no splenic lesion was found on surgical exploration at that time. A computed tomography scan showed a well-defined, 12 × 9 × 6-cm lesion with a hypodense necrotic center and isodense peripheral tissue that enhanced after contrast injection, amidst an otherwise normal appearing spleen (Figure A, B).