19 Cardiovascular Calcification

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig CA 19-1 Arteriosclerosis. Lateral view of the chest demonstrates calcification of the anterior and posterior walls of the ascending aorta (arrows). The descending thoracic aorta is tortuous.

• Fig CA 19-2 Syphilitic aortitis. Aneurysmal dilatation of the ascending aorta with extensive linear calcification of the wall (black arrows). Some calcification is also seen in the distal aortic arch (white arrow).

• Fig CA 19-3 Aortic stenosis. Calcification in (A) the aortic annulus (arrows) and (B) the three leaflets of the aortic valve (arrows).

• Fig CA 19-4 Mitral annulus calcification (arrows) in mitral stenosis.

• Fig CA 19-5 Coronary artery calcification (arrows) in ischemic heart disease. (A) Frontal and (B) lateral views of the chest.

• Fig CA 19-6 Left atrial calcification. (A) Overpenetrated film in the left anterior oblique position and (B) lateral view with barium in the esophagus show enlargement of the left atrium and calcification of the wall of this chamber (arrows) in a patient with mitral stenosis.12

• Fig CA 19-7 Left atrial myxoma. The arrows point to calcification in the tumor. The myxoma has led to destruction of the mitral valve with resulting left atrial enlargement that causes an impression on the barium-filled esophagus.

• Fig CA 19-8 Ventricular aneurysm. (A) Frontal and (B) lateral views of the chest demonstrate bulging and curvilinear peripheral calcification (arrows) along the lower left border of the heart near the apex. Note the relatively anterior position of the aneurysm on the lateral view.

• Fig CA 19-9 Pericardial calcification (A and B). Lateral views of the chest demonstrate dense plaques of pericardial calcification (arrows) in two patients with chronic constrictive pericarditis due to tuberculosis.

• Fig CA 19-10 Ductus arteriosus calcification (arrows).