Presentation
Known case of prostatic cancer with abdominal pain
Patient Data
Age: 65 years
Gender: Male
From the case:
Calcified hepatic metastases from prostatic carcinoma
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Axial renal excretory phase
Multiple variable size calcified masses are seen in liver parenchyma which some of them have hypodense rim. Multiple para-aortic, aorto-caval and right external ilac chain Lymphadenopathies are seen. Prostatic gland is prominent .
From the case:
Calcified hepatic metastases from prostatic carcinoma
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Accumulation of tracer in the liver at the site of calcified metastases in SPECT images confirmed presence of osteoclasts.
Case Discussion
Calcified liver metastases are usually associated with metastatic mucinous adenocarcinoma (gastric or other parts of alimentary system). Very rarely, prostatic cancer gives rise to ossifying liver metastasis1. Based on activity on the nuclear imaging, these lesions are not just calcified but actively ossifying.