ocal splenic lesions are rare, occurring with a frequency of about 0.2% on sonography.1 Hemangiomas are the most common primary benign neoplasms of the spleen, with prevalence ranging from 0.3% to 14% at autopsy.2–4 On gray scale sonography, a splenic hemangioma may show the typical appearance described for a liver hemangioma (a hyperechoic lesion with well-defined margins with or without poste...