Primary splenic angiosarcomas are extremely rare rumors with very poor prog
nosis. These tumors, highly aggressive and lethal, present with widespread
metastatic disease or splenic ruptures. The possibility to lengthen the sur
vival by splenectomy before the development of splenic rapture makes an ear
ly radiological diagnosis a necessity. Multimodality imaging findings of a
patient with splenic angiosarcoma is presented. In vivo and in vitro magnet
ic resonance imaging (MRI) features of the spleen are compared to macro- an
d micropathological findings. (C) 2001 Elsevier Science Inc. All rights res
erved.