Figure it out fridays 

A 56-year-old woman presented to the emergency department with a 1-month history of abdominal pain in the left upper quadrant. Her medical history was notable for polysubstance use disorder, hepatitis C virus infection, and rheumatoid arthritis managed with naproxen. CT abdomen was performed. What is the most likely diagnosis?

 

A. Avascular necrosis of the spleen

B. Visceral leishmaniasis

C. Emphysematous infection of the spleen

D. Gastrosplenic fistulization

E. Bezoar

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