Renal osteodystrophy with widespread soft tissue calcification

Case contributed by Dr Alexandra Stanislavsky

Presentation

Renal failure patient on peritoneal dialysis

Patient Data

Gender: Male

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 coraco-clavicular ligaments (on CXR).

Bone resorption is absent or minimal in the hands, but is evident around the AC joints.

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

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Case Information

rID: 12567
Case created: 17th Dec 2010
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

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