Eggshell calcification

Eggshell calcification refers to fine calcification seen at the periphery of a mass, and usually relates to lymph node calcification.

In 1967 Jacobsen and Felson published criteria to help "avoid over-reading of the incidental circumferential concentrations of calcium and to eliminate confusion with the ring shadows of bronchi on end." These criteria were:

  • shell-like calcifications up to 2 mm thick must be present in the peripheral zone of at least two lymph nodes
  • the calcifications may be solid or broken
  • in at least one of the lymph nodes the ringlike shadow must be complete
  • the central part of the lymph node may show additional calcifications
  • one of the affected lymph nodes must be at least 1 cm in its greatest diameter

Pathology

Aetiology

In the mediastinum and thorax

In the breast

Differential diagnosis

For eggshell like calcification appearances in the thorax consider

See also


Inspired signs
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Article Information:

rID: 1262
System: Chest
Section: Signs
Synonyms or Alternate Spellings:
  • Eggshell calcifications
  • Eggshell calcifications - general
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    Figure 1: photograph - egg
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    Case 1: from calcified oil cyst
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