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British Journal of Radiology (2005) 78, 708-713
© 2005 British Institute of Radiology
doi: 10.1259/bjr/74299224
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Imaging of diffuse metastatic and dystrophic pulmonary calcification in children after haematopoietic stem cell transplantation

A Guermazi, MD 1 H Espérou, MD 2 F Selimi, MD 2 and E Gluckman, MD 2

Departments of 1 Radiology and 2 Bone Marrow Transplantation, Saint-Louis University Hospital, AP-HP, 1 avenue Claude Vellefaux, 75010 Paris, France



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  		Figure 1. (a) Anteroposterior and (b) lateral dual energy radiographs of the chest show diffuse pulmonary calcification predominantly within the middle lobe. (c) Axial high resolution CT scan at lung windowing shows the diffuse pulmonary calcification in the middle lobe. (d) The same CT slice at mediastinal windowing shows the calcific nature of the consolidation and also demonstrates calcification around the bronchi and within the heart. (e) Anteroposterior dual energy radiograph performed 7.5 years later shows the pulmonary calcification is still present but less diffuse.

 


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  		Figure 2. (a) Anteroposterior and (b) lateral dual-energy radiographs of the chest show bilateral diffuse pulmonary calcification most marked within the left lung. (c) Axial high resolution CT scan at lung windowing shows the pulmonary calcification more clearly than conventional radiography.

 


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  		Figure 3. (a) Anteroposterior dual-energy radiograph of the chest demonstrates bilateral diffuse pulmonary consolidations predominantly in the right upper lobe. Axial high resolution CT scan at (b) lung and (c) mediastinal windowings show the pulmonary consolidation to be of calcific nature. They also demonstrate calcification around the bronchi (arrow).

 




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