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FAT AND CALCIUM IN THE HEART
56 year old male with history of coronary artery disease. Axial CT through the heart shows apical curvilinear fat (yellow arrowheads, ( a and b) associated with apical myocardial dystrophic calcification (green arrowheads c and d) both indicating prior apical MI. In addition there mitral annular calcification (red arrowhead, b) and multifocal fatty deposits in the RV (white arrowheads, a and b) usually depicting age related degenerative changes,
Ashley Davidoff MD

Apical Hypertrophy and Mass Like Calcification –

X-ray in PA and lateral show a  cluster of calcifications in the region of the left ventricular apex (arrows). The patient is a 73 year old female with apical hypertrophic disease . She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0067-low res Ashley Davidoff MD
The left image is a lateral view of the chest, and the arrow points to the intracardiac calcification. The image on the right is a CT scan of a sagittal view of the left ventricle showing LV apical hypertrophy (red line), mass-like calcification in the LV cavity (white arrow) and contrast in the right ventricle.
The patient is a 73 year old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0068b-low res
Ashley Davidoff MD
The CT axial images shows native image on the left . Markers on the right image, show left ventricular (LV) apical hypertrophy (red line) calcified mass in the apex (white arrow) LV cavity with contrast (red dot) and pericardial effusion (pink arrow)
The patient is a 73-year-old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0069b02 Ashley Davidoff MD

 

CT scan of a 67 year old female with anca  vasculitis shows regions of dystrophic calcification in the lateral aspect of the right lower lobe (white arrow, a and b) )with focal nodular parenchymal consolidation, that likely reflects a site of prior small vessel infarct. Dystrophic calcification in the LV myocardium (blue arrows c) and a suggestion of fatty dysplasia in the left ventricular apex red arrow d) suggest changes from small vessel infarct.

Ashley Davidoff MD

Probable Dystrophic Calcification from Previous MI
References

Khanna R kapoor A, Soni Neetu A Heart Set in Stone

Shim Ito et al Myocardial calcification with a latent risk of CHF in a patient with apical hypertrophic cardiomyopathy Internal medicine 54:1627-1631 2015