CTICasesMetastatic Myocardial Calcification
Imaging findings
CT chest shows diffuse, dense calcification of the left ventricular myocardium, including the papillary muscles, in a patient with preserved cardiac function.
Key takeaways
Metastatic myocardial calcification is a rare condition occurring in patients with severe calcium-phosphate product abnormalities (e.g., during acute kidney injury/sepsis). Sepsis-induced hypotension and localized myocyte injury promote calcium deposition in functional myocardium, which surprisingly often runs a benign course.
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