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Metastatic Pulmonary Calcification with Calcified Pneumonia in Chronic Kidney Disease

Imaging findings

Dense consolidation is denser than the pleural effusion and has calcium-like attenuation when windowed. Rounded atelectasis with pleural thickening lies alongside calcium deposits in the lung and in the soft tissues. The left apex also looks more dense than normal.

Key takeaways

In chronic kidney disease with a high calcium-phosphate product, calcium deposits in the lung, and the deposits concentrate where there is inflammation or prior injury, as in calcified pneumonia. Denser than water on windowing points to calcium rather than fluid. The lung calcium was probably present before but only became visible once it concentrated.

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