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Metastatic Pulmonary Calcification

Imaging findings

Non-contrast CT chest shows dense, calcified consolidations in both lungs and extensive calcification of the left ventricular myocardium. There is a pseudo-plaque appearance along the diaphragmatic surface, representing calcified lung bases.

Key takeaways

Metastatic pulmonary calcification is a metabolic disorder seen in chronic renal failure and hyperparathyroidism. Calcium deposits in the lungs, stomach, kidneys, and myocardium. On CT, it presents as dense, calcified ground-glass nodules and dense consolidations, often without an apical gradient.

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