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Greetings Jen.An isolated tortuous spleen is usually not considered significant, if there are not associated following findings;1) Liver enlargement or cirrhosis of liver 2) Spleen enlargement3) Abnormalities in the blood cell counts4) Abnormal liver function tests5) Significant abdominal symptoms like lump or mass in abdomen, moderate to severe chronic abdominal pain, etc.6) Normal portal vein in pressure and caliber.If the tortuous splenic vein was found in a routine check up and is an incidental finding on an ultrasound or a CT scan; this is usually considered as nothing concerning.Please feel free for your follow up questions.
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