Man 59yo with history of trauma at the right lung 10 years ago; today getting pain at right costal area. Chest X-rays detected an old fracture of one rib with changing costo-diaphragmatic sinus (chest film).
Ultrasound of abdomen detected a liver hemangioma and a big tumor of spleen ( US 1: liver with hemangioma), US 2: round tumor in the pleen, size 9.26cm. US 3: vascular supply of this tumor.
MRI with gado = MRI 1: liver tumor as a hemangioma and spleen tumor; MRI 2, MRI 3.
Blood tests and cancer markers are negative.
What is your suggestion of diagnosis for this case ?