Multiple calcified pulmonary nodules

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with dyspnea and dense nodules on x-ray.

Patient Data

Age: 80 years
Gender: Male

CT Chest

CT

Multiple small calcified nodules scattered in both lungs. Also, cardiomegaly associated with a small bilateral pleural effusion. 

Case Discussion

Hyperdense pulmonary nodules are a subset of pulmonary nodules that have relatively increased attenuation, usually caused by calcification within the nodule. The commonest cause of nodule calcification is granuloma formation, usually in the response to healed infection although there are numerous others.

This is a decompensated cardiac patient. There is no known history of cancer.

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