What are the differentials for tumoral calcinosis?
Secondary hyperparathyroidism, CPPD, milk-alkali syndrome, tophaceous gout, connective tissue diseases (e.g. systemic sclerosis, dermatomyositis), synovial or bursal osteochondromatosis, and calcific bursitis
The axial bone window of the left shoulder showed a heterogeneous calcified mass lesion in subdeltoid bursa with multiple hyperdense fluid levels - representing layered "milk of calcium".