医学影像英语每日读丨83.Metastatic Pulmonary Calcifications

每天朗读一段医学影像学英语文章

朗读者：沈璐瑶领读、讲解

A 66-year-old man undergoing routine follow-up imaging after an orthotopic liver transplant. There are coarse calcifications of the bilateral lungs with peripheral calcifications of the spleen. This is a case of metastatic pulmonary calcifications secondary to orthotopic liver transplantation.

Metastatic pulmonary calcification occurs when calcium is deposited in normal lung parenchyma, primarily as a result of metabolic derangements in which there are exceedingly high levels of serum calcium and phosphate. The most common cause is chronic renal failure, followed by hyperparathyroidism (both primary and secondary), sarcoidosis, vitamin D intoxication, destructive osseous lesions, and IV calcium therapy.

Another more rare but well-documented cause is orthotopic liver transplant. Patients who develop these calcifications following liver transplant are generally asymptomatic, and these lesions are incidentally discovered following unrelated imaging.

From: auntminnie.com

Notes:

1. orthotopic liver transplantation 原位肝移植

orthotopic [ɒðə'tɒpɪk] 正位的，原位的

2. peripheral [pəˈrɪfərəl] adj.外围的; （神经） 末梢区域的

3. spleen [splin] n. 脾

4. metastatic [ˌmetə'stætɪk] adj. 转移性的

5. pulmonary [ˈpʌlməneri] adj. 肺的

6. calcium [ˈkælsiəm] n. 钙

7. parenchyma [pə'reŋkɪmə] n. 实质，软组织

8. metabolic [ˌmetə'bɒlɪk] adj. 新陈代谢的

9. derangement [dɪˈrendʒmənt] n. 精神错乱，扰乱

10. serum [ˈsɪrəm] n. 血清，血浆; 浆液

11. phosphate [ˈfɑ:sfeɪt] n. 磷酸盐

12. hyperparathyroidism [haɪpəpærə'θaɪrɔɪdɪzəm] n. 甲状旁腺功能亢进

13. sarcoidosis [ˌsɑ:kɔɪ'doʊsɪs] n. 结节病；肉状瘤病，类肉状瘤病

14. intoxication [ɪnˌtɑksɪˈkeʃən] n. 中毒

15. osseous [ˈɑ:siəs] adj. 骨的

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁

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