Objective: Our goal was to elucidate the CT and MRI findings of inflam
matory pseudotumors of the spleen. Methods: The CT and MRI findings of
three patients with inflammatory pseudotumors of the spleen were revi
ewed and compared with the pathologic findings. Results: On the early
phase of CT, the masses were hypodense to the normal spleen, and on th
e delayed phase, they demonstrated delayed enhancement, On T1-weighted
MR images, the masses were isointense to the normal spleen, and on T2
-weighted images, the masses had heterogeneous low signal intensities.
After administration of Gd-DTPA, the masses showed delayed enhance me
nt, Conclusion: Inflammatory pseudotumors of the spleen were character
ized by low signal intensity on T2-weighted MR images and delayed enha
ncement after contrast material administration on CT and MRI. The fibr
ous stroma may contribute to these unusual findings.