What is your practice for work up and treatment of incidental splenic infarcts with or without splenomegaly in patients without sickle cell disease?  

I obtain CBC/diff, CMP, and LDH in all patients. I assume a CT of the abdomen has already been done because that is what usually leads to the diagnosis of incidental infarcts. Of course, it is important to rule out intra-abdominal pathology which should be visible by CT. I obtain a thrombophilia scr...