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Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 442-444

Caseous mitral annular calcification mimicking a lung tumor on chest X-ray

1 Department of Cardiology, Mater Dei Hospital, Msida, Malta
2 Department of Radiology, Mater Dei Hospital, Msida, Malta
3 Department of Medicine, Mater Dei Hospital, Msida, Malta

Correspondence Address:
Dr. Philip Dingli
Mater Dei Hospital, Triq Dun Karm, Msida
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Source of Support: None, Conflict of Interest: None

DOI: 0.4103/jfmpc.jfmpc_416_16

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Mitral annular calcification (MAC) is a common condition of the mitral valve apparatus. A case involving caseous calcification, a rare variant of MAC is presented. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of calcified cardiac masses such as tumor, abscess, and infective vegetation. Often, this requires multimodality imaging with echocardiography, computed tomography, and magnetic resonance imaging. Features of caseous calcification of the mitral valve on these imaging modalities are reviewed as the associations and clinical features.

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