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. 2017 May 8;33(2):451–452. doi: 10.3904/kjim.2016.394

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Copyright © 2018 The Korean Association of Internal Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Figure 1. — Abdominal imaging in the patient. (A) Ultrasound sonography showed a peripheral wedge-shaped hypoechoic area in an enlarged spleen. (B) Late-vascular phase (i.e., 60 seconds after injection) of contrast-enhanced ultrasound sonography with Sonazoid (Daiichi Sankyo, 0.015 mL/kg) showed a non-enhanced infarcted area as a wedge-shaped area. (C) A portal venous phase computed tomography (CT) taken on the admission day showed splenomegaly and a wedge-shaped hypoenhancement area. (D) A portal venous phase CT after 2 months of discharge revealed decreased splenic infarcted areas accompanied by localized atrophic changes in the infarcted areas.