A 60-year-old woman presented with several years of dull left upper quadrant, mid-epigastric, and right flank pain. Abdominal CT showed multiple soft tissue densities of unclear etiology. She reported having a post-traumatic splenectomy in the 1960s. A technetium-99m-labeled heat-damaged RBC scan (Tc99m-dRBC) demonstrated radiotracer uptake in the left upper quadrant, posterior to the right kidney, and along the right diaphragm, confirming ectopic splenic deposits (Fig. 1).