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A peritoneal dialysis catheter overlies the lower pelvis satisfactorily. Multiple radiopaque densities scattered throughout the colon, likely PICA and geophagia. These have increased in the one year interval between radiographs.
Splenic calcified granulomas.
The right femur demonstrates post-surgical changes from previous core decompression of avascular necrosis of the right femoral head by a vascularised fibular graft. AVN both femoral heads.
IMPRESSION:
Correlate with patient's history regarding Pica, and geophagia. Differential diagnosis: Lanthanum therapy.