CTICasesCaseous Myocardial Calcification
Imaging findings
Chest CT shows dense calcifications within multiple locations of the myocardium, including a relatively large intramyocardial mass featuring central high-attenuation caseous-like material and peripheral calcification, associated with extensive mitral valve annular calcification.
Key takeaways
Caseous calcification of the myocardium is a rare, benign process that typically mimics tumorous or infectious intracardiac lesions. It is highly associated with mitral annular calcification, can be highly thrombogenic when close to the endocardial surface, and often exhibits peripheral enhancement on delayed contrast-enhanced cardiac MRI due to an inflammatory tissue reaction.
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