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Thoracolithiasis

Imaging findings

Calcium scoring and follow-up chest CTs demonstrate a small, well-circumscribed, calcified mobile pleural nodule (containing a fatty core/marrow) in the right hemithorax. The nodule shifted position between scans.

Key takeaways

Thoracolithiasis refers to the presence of one or more free-floating calcified bodies in the pleural space. They are typically benign, asymptomatic, and thought to arise from costal cartilage fragments or fat necrosis.

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