Extensive intra-myocardial calcifications: Value of multimodality imaging.

Background: Massive myocardial calcification is a very rare finding.

Introduction: Accurate identification and characteriation may help the clinicians to determine the etiology and clinical significance.

Results: In this case, the diagnostic pathway excluded previous myocardial infarction, myocarditis, and calcium-phosphate disorders. A possible dystrophic etiology was considered.

Discussion: There are no standardized imaging features available to classify specific subtypes of intra-myocardial calcifications. The relative merits of computed tomography and cardiac magnetic resonance (CMR) in providing complimentary diagnostic information in the evaluation of calcific myocardial lesions are shown.

Conclusion: Knowledge of the potential etiology and their imging patterns are important to provide a concise and accurate differential diagnosis.