Which imaging findings are characteristic of myocardial calcifications?

Updated: Sep 10, 2019
  • Author: Sohail G Contractor, MD, MBBS; Chief Editor: Eugene C Lin, MD  more...
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Answer

Answer

Myocardial calcification usually occurs in patients who have sustained sizable infarcts. Calcification is identified as thin and curvilinear shaped and usually appears toward the apex of the left ventricle. The associated contour abnormality from the aneurysm is frequently noted. Rarely, calcification can appear spherical or platelike. The walls of the left ventricle rarely calcify, and calcification of the mural thrombus in the aneurysm is more common. Rarely, calcification is noted in cardiac tumors, such as rhabdomyomas and endotheliomas. The CTs and radiograph below show a patient with calcification in a left ventricular aneurysm. [16]

Calcification in a left ventricular aneurysm in a Calcification in a left ventricular aneurysm in a patient with significant coronary artery disease
Lateral chest radiograph from the patient shown in Lateral chest radiograph from the patient shown in the previous image demonstrates calcification within the left ventricular aneurysm.
Non–contrast-enhanced CT of the patient seen in th Non–contrast-enhanced CT of the patient seen in the previous 2 images reveals calcification within the left ventricular aneurysm.

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