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Port-Catheter Induced Endocardial Calcification

Imaging findings

Serial CT chest scans over two years show progressive thickening and subsequent calcification of the right atrial endocardium in the region of the crista terminalis, directly adjacent to the tip of a long-standing chest port catheter.

Key takeaways

Chronic mechanical irritation from a central venous catheter tip against the right atrial wall can induce endocardial injury, localized thrombosis, and subsequent dystrophic calcification, mimicking a calcified cardiac tumor.

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