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A peritoneal dialysis catheter overlies the lower pelvis satisfactorily. Multiple radiopaque densities scattered throughout the colon, likely PICA and geophagia. These have increased in number on the 2 radiographs which are about one year apart.
Splenic calcified granulomas.
The right femur demonstrate postsurgical changes from previous core decompression of avascular necrosis of the right femoral head by a vascularised fibular graft. AVN both femoral heads.
Correlate with patient's history regarding Pica, and geophagia. Differential diagnosis: Lanthanum toxicity.