This technetium-99m sulfur colloid scan was performed after the patient presented with abdominal pain. Howell-Jolly bodies were present on a peripheral-blood smear. What is the diagnosis?

Answer D. Pelvic spleenAbdominal imaging after injection of technetium-99m revealed a normal liver and a pelvic spleen. Pelvic spleen can be complicated by torsion of the pedicle. Howell-Jolly bodies suggest functional asplenia.