From: Metabolic and storage lung diseases: spectrum of imaging appearances
Pulmonary calcification |
(A) Dystrophic |
  1. Granulomatous diseases—granulomatous infection such as histoplasmosis and tuberculosis and non-infectious causes such as sarcoidosis. |
  2. Other infections—viral infections such as varicella and parasitic infections such as paragonimiasis. |
  3. Occupational lung diseases—silicosis, coal workers’ pneumoconiosis. |
  4. Metabolic lung diseases—amyloidosis, Pulmonary alveolar microlithiasis. |
  5. Vascular causes—areas of prior haemorrhage or infarction, pulmonary hypertension, arterio-venous malformation. |
  6. Miscellaneous—post-treatment such as radiation therapy. |
(B) Metastatic |
  1. Non-neoplastic—most common cause is hypercalcaemia in the setting of chronic renal failure. Other causes are conditions causing primary hyperparathyroidism, iatrogenic (following calcium therapy), Paget’s disease. |
  2. Neoplastic—parathyroid carcinoma, multiple myeloma, lymphoma/leukaemia and metastases such as chondrosarcoma. |
Pulmonary ossification |
 1. Nodular type—in chronic venous congestion. |
 2. Dendriform type—in chronic lung insult with resultant fibrosis. |
 3. Bone forming neoplasms such as osteosarcoma. |