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British Journal of Radiology 75 (2002),74-77 © 2002 The British Institute of Radiology

Case report

Metastatic pulmonary calcification in renal failure: a new HRCT pattern

R K Lingam, BSc (Hon), MRCP, FRCR 1 J Teh, BSc, MRCP, FRCR 2 A Sharma, MRCP, FRCR 1 and E Friedman, MRCP, FRCR 1

1Department of Diagnostic Radiology, Royal London Hospital, London E1 1BB and 2Department of Diagnostic Radiology, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK

A 56-year-old male with chronic renal failure presented with a 6 month history of progressive dyspnoea. High resolution CT of the chest showed multiple, peripheral, centrilobular nodules in the upper and mid zones, consistent with metastatic pulmonary calcification. Some of these pulmonary nodules showed ring calcification, a pattern that to our knowledge has not been described before. Calcification was also seen in the segmental pulmonary arteries, bronchi, trachea and subcutaneous vessels of the chest wall.




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