1. Metastatic pulmonary calcification: First report of pulmonary calcium suppression using dual-energy CT
- Author
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Ana Fehrmann, Jorge Garcia Borrega, Jasmin Holz, Nadav Shapira, Jonas Doerner, Boris Boell, David Maintz, and Tilman Hickethier
- Subjects
Metastatic pulmonary calcification ,Dual-energy CT ,Spectral-detector CT ,Calcium suppression ,Chronic renal failure ,Secondary hyperparathyroidism ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Metastatic pulmonary calcification is an underdiagnosed metabolic lung disease characterized by diffuse calcium deposition in the lungs, often associated with secondary hyperparathyroidism due to chronic renal failure. A 31-year-old man with chronic renal failure initially presented with diffuse pain symptoms, deterioration of general condition, and respiratory insufficiency. Noncontrast-enhanced computed tomography of the chest was performed using a spectral-detector-based dual-energy CT. It showed multiple, centrilobular, ground-glass opacities, and nodules, ultimately leading to the diagnosis. Calcium suppression proved to be highly useful to classify the pulmonary alterations.
- Published
- 2020
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