Diffuse Pulmonary Calcification in a Patient With Renal Insufficiency

Castillo, M.C.; Gimeno, M; Carro, Belén; Benito, J.L.; Freile, E.; Sáinz, José María Solana

doi:10.1016/s1579-2129(06)60288-7

Cited by 1 publication

(2 citation statements)

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“…Nonetheless, three CT patterns have been described and concur with our findings: multiple diffuse calcified nodules, diffuse or patchy areas of ground-glass opacity or consolidation, and confluent dense parenchymal consolidation with lobar distribution ( 19 - 21 ) . Calcification is common and may be punctate within nodular opacities, ringlike, or diffuse, involving the entire nodule or area of consolidation ( 20 , 21 , 32 - 35 ) . Of these, the pattern of centrilobular ground-glass nodules with or without foci of calcification ( 32 ) has been described as most common, as corroborated by our results.…”

Section: Discussionmentioning

confidence: 99%

“…Calcification is common and may be punctate within nodular opacities, ringlike, or diffuse, involving the entire nodule or area of consolidation ( 20 , 21 , 32 - 35 ) . Of these, the pattern of centrilobular ground-glass nodules with or without foci of calcification ( 32 ) has been described as most common, as corroborated by our results. In a series of seven patients ( 20 ) , the most common CT finding was multiple fluffy, poorly defined nodules, present in all patients and calcified in 57% of cases, followed by diffuse ground-glass opacities in three (43%) patients and consolidation in two (28%) patients.…”

Section: Discussionmentioning

confidence: 99%

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Metastatic pulmonary calcification: high-resolution computed tomography findings in 23 cases

Belém

Souza

et al. 2017

Radiol Bras

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ObjectiveThe aim of this study was to evaluate the high-resolution computed tomography (HRCT) findings in patients diagnosed with metastatic pulmonary calcification (MPC).Materials and MethodsWe retrospectively reviewed the HRCT findings from 23 cases of MPC [14 men, 9 women; mean age, 54.3 (range, 26-89) years]. The patients were examined between 2000 and 2014 in nine tertiary hospitals in Brazil, Chile, and Canada. Diagnoses were established by histopathologic study in 18 patients and clinical-radiological correlation in 5 patients. Two chest radiologists analyzed the images and reached decisions by consensus.ResultsThe predominant HRCT findings were centrilobular ground-glass nodules (n = 14; 60.9%), consolidation with high attenuation (n = 10; 43.5%), small dense nodules (n = 9; 39.1%), peripheral reticular opacities associated with small calcified nodules (n = 5; 21.7%), and ground-glass opacities without centrilobular ground-glass nodular opacity (n = 5; 21.7%). Vascular calcification within the chest wall was found in four cases and pleural effusion was observed in five cases. The abnormalities were bilateral in 21 cases.ConclusionMPC manifested with three main patterns on HRCT, most commonly centrilobular ground-glass nodules, often containing calcifications, followed by dense consolidation and small solid nodules, most of which were calcified. We also described another pattern of peripheral reticular opacities associated with small calcified nodules. These findings should suggest the diagnosis of MPC in the setting of hypercalcemia.

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