Renal osteodystrophy with widespread soft tissue calcification

Discussion:

The dominant imaging feature of renal osteodystrophy in this patient is the widespread soft tissue calcification, with tumoral calcinosis seen in the hands; massive soft tissue calcification inferior to the right shoulder (on CXR), and on the CT - in the right hip joint, right ilium tendon origins and bilateral trochanteric bursae. There is also bilateral calcification of the coracoclavicular ligaments (on CXR). Bone resorption is absent or minimal in the hands, but is evident around the AC joints.

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