![]() ![]() Mnemonic = VINDICATE Generic Differential Diagnosis of Dystrophic Soft Tissue Calcifications Going through the universal differential diagnosis, we come up with the following possible causes: Patient with dystrophic calcification in the Achilles tendon due to recurrent trauma and tendinitis.Īgain, dystrophic calcification means damaged tissue. ![]() This calcification is probably usually only microscopic, but is occasionally enough to be seen radiographically. This sometimes ends with calcification of the damaged tissue. What does this mean? Simply this: when tissue is damaged, the body responds to this injury in a nonspecific manner by invoking the generic inflammatory response reaction. Small to large amorphous Ca++ in the damaged tissue - may progress to ossification (formation of cortex and medullary space are then seen)Ĭhondrocalcinosis occasionally associated with calcifications in the soft tissues of the spineįinely speckled Ca++ throughout soft tissuesĪmorphous, fluffy, confluent collection of Ca++Īs you can see, almost every calcification that one sees in the soft tissues in actual radiographic practice is due to dystrophic calcification. These are listed below in order of prevalence. Soft tissue calcifications are usually caused by one of the following six entities. Fortunately the differential diagnosis for this finding is not too difficult. Soft tissue calcifications pop up all of the time, and it behooves the radiologist to say something intelligent about them. ![]()
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