Myocardial calcifications: pathophysiology, etiologies, differential diagnoses, and imaging findings

J Cardiovasc Comput Tomogr. 2015 Jan-Feb;9(1):58-67. doi: 10.1016/j.jcct.2014.10.004. Epub 2014 Oct 22.


Myocardial calcifications are not uncommonly encountered by the cardiac imager and may have a range of imaging appearances, from focal calcific deposits to diffuse myocardial involvement. A number of pathological processes can both cause and result from myocardial calcification; therefore, accurate identification and characterization are important. This pictorial essay will review the mechanisms, etiologies, imaging features, and differential diagnoses of myocardial calcification with imaging examples.

Keywords: Cardiovascular CT; Myocardial calcification.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Calcinosis / diagnostic imaging*
  • Cardiomyopathies / diagnostic imaging*
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radiographic Image Enhancement / methods*
  • Tomography, X-Ray Computed / methods*