Figure 3. 38-year-old patient with metastatic malignant melanoma and pain in the left upper abdomen. (a) Ultrasound of the spleen showed a focal hypoechoic splenic lesions suggesting splenic metastases (M) with hyperechoic subcapsular haematoma (H) classified for a grade 2 splenic injury. (b) On ultrasound follow-up 6 weeks later a hypoechoic transformation of the haematoma was seen.

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