EURORAD ESR

Case 12159

Tumoral calcinosis with emphasis on Magnetic Resonance Imaging

Author(s)
Narayanan Ramakrishna1, Balasubramanyam Shankar2, Samir Paruthikunnan Mustafa3, Chaitanya Dattatray Kulkarni4

Kasturba Medical College;
Manipal 576104, India;
Email:drrkris@gmail.com
 
Patient
male, 10 year(s)
 
 
  • Figure 1
    Antero-posterior radiograph of the right hip joint

    Antero-posterior radiograph of the right hip joint (A) showing a large multiglobular calcific mass [arrow] overlying the hip joint, with areas of fluid-calcium levels [black dashed arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Digital radiography; Procedure: Education; Special Focus: Metabolic disorders;
     
     
  • Figure 2
    Lateral radiograph of right elbow

    Soft tissue swelling with areas of globular calcification along the extensor aspect of the elbow joint [arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 3
    Antero-posterior radiograph of right hand

    Soft tissue swelling with areas of calcification adjacent to the terminal phalanx of 1st digit on its radial aspect [arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Calcifications / Calculi;
     
     
  • Figure 4
    Axial T1 weighted image

    Heterogenous isointense well encapsulated soft tissue mass in the subcutaneous plane around the right hip joint, displacing and insinuating between the adjacent gluteal muscles.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 5
    Axial T2 weighted image

    Heterogenous, multiloculated cystic soft tissue mass , with foci of interspersed hypointensity [arrow]. Few cysts showing “shading” [black arrow] and “fluid levels” [white dashed arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 6
    Axial STIR image

    Heterogeneous, multiloculated cystic soft tissue mass with foci of interspersed hypointensity [arrow]. Few cysts showing “shading” [black arrow] and “fluid levels” [white dashed arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 7
    Axial T1weighted post-gadolinium image

    Mass displacing and insinuating between the adjacent gluteal muscles showing heterogenous enhancement of the septae [arrow], the capsule [dashed arrow], & solid enhancing pseudo-tumoral areas [black arrow].

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
  • Figure 8
    Axial gradient sequence image

    Areas of intense septal blooming [arrow] are seen within the mass.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Calcifications / Calculi;
     
     
Antero-posterior radiograph of the right hip joint (A) showing a large multiglobular calcific mass [arrow] overlying the hip joint, with areas of fluid-calcium levels [black dashed arrow].
 
Soft tissue swelling with areas of globular calcification along the extensor aspect of the elbow joint [arrow].
 
Soft tissue swelling with areas of calcification adjacent to the terminal phalanx of 1st digit on its radial aspect [arrow].
 
Heterogenous isointense well encapsulated soft tissue mass in the subcutaneous plane around the right hip joint, displacing and insinuating between the adjacent gluteal muscles.
 
Heterogenous, multiloculated cystic soft tissue mass , with foci of interspersed hypointensity [arrow]. Few cysts showing “shading” [black arrow] and “fluid levels” [white dashed arrow].
 
Heterogeneous, multiloculated cystic soft tissue mass with foci of interspersed hypointensity [arrow]. Few cysts showing “shading” [black arrow] and “fluid levels” [white dashed arrow].
 
Mass displacing and insinuating between the adjacent gluteal muscles showing heterogenous enhancement of the septae [arrow], the capsule [dashed arrow], & solid enhancing pseudo-tumoral areas [black arrow].
 
Areas of intense septal blooming [arrow] are seen within the mass.
 
 
 
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