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Visceral lymphangiomatosis may occur as a benign isolated entity or as a manifestation of a systemic disorder. Multifocal involvement is exceedingly rare, with gradations ranging from extreme involvement of an isolated organ to focal involvement of multiple viscera. This case report describes the contrast-enhanced computed tomography imaging appearances of visceral lymphangiomatosis of the spleen and adrenal gland in a 31-year-old man.