Patient presented with fever and blood investigations revealed leukocytosis. There was no history of trauma or pancreatitis. The lesions were rounded with few internal septae. 

On imaging the possibility of splenic abscesses was kept. Ascites and pleural effusions also supported inflammatory pathology. Primary splenic hydatid disease was kept as a differential however there were no calcifications or detached membranes on imaging. Hydatid serology was negative. 

On ultrasound guided aspiration purulent material was aspirated confirming the diagnosis of splenic abscesses.