CTICasesMetastatic Myocardial Calcification
Imaging findings
CT chest shows progressive, dense calcium deposition lining the left ventricular myocardium, primarily involving the interventricular septum and free wall, in a patient with end-stage renal disease and secondary hyperparathyroidism.
Key takeaways
Metastatic myocardial calcification is a metabolic complication of chronic kidney disease, hyperparathyroidism, or pancreatitis (associated with calcium-phosphate product abnormalities). Calcium deposits directly in normal myocardial tissue and can progress rapidly, sometimes causing cardiac conduction blocks or restrictive cardiomyopathy.
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