Renal osteodystrophy with widespread soft tissue calcification

Case contributed by Dr Alexandra Stanislavsky

Presentation

Renal failure patient on peritoneal dialysis

Patient Data

Gender: Male

Note tumoral calcinosis inferior to the right shoulder joint, bilateral calcification of the coracoclavicular ligaments and bone resorption around the AC joints.

Tumoural calcification in the right hip joint, right ilium tendon origins and bilateral trochanteric bursae.

Ascites and peritoneal catheter in situ as well as small kidneys in keeping with the background renal disease.

Case Discussion

The dominant imaging feature of renal osteodystrophy in this patient is the widespread soft tissue calcification, with tumoral calcinosis seen in the hands; massive soft tissue calcification inferior to the right shoulder (on CXR), and on the CT - in the right hip joint, right ilium tendon origins and bilateral trochanteric bursae. There is also bilateral calcification of the coracoclavicular ligaments (on CXR). Bone resorption is absent or minimal in the hands, but is evident around the AC joints.

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Case information

rID: 12567
Published: 17th Dec 2010
Last edited: 17th Sep 2018
Inclusion in quiz mode: Included

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