The spleen appears massively enlarged and heterogeneous.
Medially, it is displacing the pancreas and bowel loops to right and inferiorly.
Anterosuperiorly it is abutting the stomach and left hepatic lobe with indistinct intervening fat plan. Anterolaterally it is abutting the abdominal wall.
Posteriorly: it is abutting and compressing the left kidney.
After contrast injection, the spleen shows heterogeneous enhancement. On delayed venous phase patchy enhancement is seen, suggestive of large splenic haemangioma.
Enlarged liver, the splenic and portal vein appears dilated and tortuous with evidence of portal hypertension.
Fluid is seen around spleen and in pelvis, denoting leakage and possible rupture of haemangioma.