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==Planning=====Indication===Ultrasonography of the spleen is included as a [[Ultrasonography_of_the_abdomen_and_pelvis#Upper_abdomen|general screening of the upper abdomen]], or when specifically requested in the referral. ==Evaluation=====Size===
[[File:Maximum length of spleen on ultrasonography.jpg|thumb|Maximum length of spleen on [[abdominal ultrasonography]].]]
A measurement of spleen size is a standard procedure as part of a liver exam, since splenomegaly is a sign of portal hypertension.
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For children, the cutoffs for splenomegaly are given in this table, when measuring the greatest length of the spleen between its dome and its tip, in the [[coronal plane]] through its hilum while breathing quietly.<ref name="RosenbergMarkowitz1991"/>
===Focal changes===
If the referral mentions the spleen, it is generally appropriate to scan the volume of it for any focal changes, mainly cysts or tumors.
==Report==
*If enlarged, state both grade (such as moderate) and maximum length in a number
*If checked, even absence of focal changes.
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