Eierschalenverkalkungen von Lymphknoten
An industrial worker with shortness of breath. Multiple calcified lymph nodes noted in right paratracheal and bilateral hilar region. Homogeneous opacities noted in bilateral mid and lower zones due to pneumoconiosis (silicosis).
An industrial
worker with shortness of breath. Multiple calcified lymph nodes noted in right paratracheal and bilateral hilar region. Homogeneous opacities noted in bilateral mid and lower zones due to pneumoconiosis (silicosis).
Pulmonary fibrosis • Pulmonary sarcoidosis - end-stage - Ganzer Fall bei Radiopaedia
Pulmonary
fibrosis • Pulmonary sarcoidosis - end-stage - Ganzer Fall bei Radiopaedia
Silicosis • Silicosis with progressive massive fibrosis - Ganzer Fall bei Radiopaedia
Silicosis •
Silicosis with progressive massive fibrosis - Ganzer Fall bei Radiopaedia
Eggshell calcification (lymph nodes) • Calcified mediastinal mass - treated lymphoma - Ganzer Fall bei Radiopaedia
Eggshell
calcification (lymph nodes) • Calcified mediastinal mass - treated lymphoma - Ganzer Fall bei Radiopaedia
Eggshell calcification (lymph nodes) • Egg (photo) - Ganzer Fall bei Radiopaedia
Eggshell
calcification (lymph nodes) • Egg (photo) - Ganzer Fall bei Radiopaedia
ähnliche Suchen
siehe auchEggshell calcification refers to fine calcification seen at the periphery of a mass and usually relates to lamellar lymph node calcification. For similar appearance in the breast see eggshell calcification (breast).
In 1967 Jacobsen and Felson published criteria to help "avoid over-reading of the incidental circumferential concentrations of calcium and to eliminate confusion with the ring shadows of bronchi on end." These criteria were :
- shell-like calcifications up to 2 mm thick must be present in the peripheral zone of at least two lymph nodes
- the calcifications may be solid or broken
- in at least one of the lymph nodes, the ringlike shadow must be complete
- the central part of the lymph node may show additional calcifications
- one of the affected lymph nodes must be at least 1 cm in its greatest diameter
Pathology
Etiology
In the mediastinum and thorax :
- silicosis: 5% patients
- treated lymphoma: (postirradiation Hodgkin disease) usually 1-9 years following treatment
- coal workers' pneumoconiosis (CWP): 1% patients
- sarcoidosis: calcification is uncommon (only 5% of patients) and occurs late in the disease; only rarely does it have an eggshell configuration
- scleroderma
- amyloidosis: rare
- blastomycosis (e.g. pulmonary blastomycosis): rare
- histoplasmosis (e.g. pulmonary histoplasmosis): rare
Differential diagnosis
For eggshell like calcification appearances in the thorax consider:
- aneurysms
- parathyroid tumors
- pulmonary arteries in pulmonary arterial hypertension
- thymic cysts
- thyroid tumors and multinodular goiter
See also
Siehe auch:
Assoziationen und Differentialdiagnosen zu Eierschalenverkalkungen von Lymphknoten:
verkalkte mediastinale Lymphknoten
verkalkte
mediastinale Lymphknoten
Schilddrüsenknoten mit randständigen Verkalkungen (Eierschalen)
Schilddrüsenknoten
mit randständigen Verkalkungen (Eierschalen)
Eierschalenverkalkungen in der Mamma
Eierschalenverkalkungen
in der Mamma