The Kissing Sign of Liver and Spleen
The kissing sign between the liver and the rate is a purely radiological sign. It reflects severe hepatomegaly or splenomegaly or a combination of the two resulting in intimate contact between the two organs. It has been described in ultrasound, CT and magnetic resonance imaging. This sign is not specific for liver disease. It can be associated with various hepatic pathologies (cirrhosis, portal hypertension, neoplastic, toxic, infectious, metabolic), extra hepatic (cardiovascular, haematological, lymphoma) or splenic (tumoral) [1]. We present the image of a 34-year-old female patient with a history of breast cancer with hepatic and bone metastasis. Abdominal computed tomography shows multi-nodular hepatomegaly coming into contact with the spleen showing the kiss sign (Figure 1 and 2).