case_images: PMC1326214_01
case_images: A. Pelvic and lower extremity radiograph shows extensive calcification of the femoral arteries. B. Translumbar aortography shows near-total obstruction of the femoral arteries.
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case_images: PMC1326214_01_1471-2261-5-34-1.jpg
case_images: F1
case_images: Pelvic and lower extremity roentgenograms showed dense, "rail tracking" femoral artery calcification associated with near-total obstruction of these vessels confirmed by translumbar aortography (figure 1).
case_images: A. Neck radiograph evidences grossly calcified areas of soft tissue in the topography of the oropharynx. B. Direct laryngoscopic examination shows exophytic calcic deposits in the left pyriform sinus (arrow).
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case_images: PMC1326214_01_1471-2261-5-34-2.jpg
case_images: F2
case_images: Direct laryngoscopy confirmed exophytic calcic deposits in the left pyriform sinus (figure 2 and 3).
case_images: Transverse slices of CT showing multiple coarse calcifications scattered by oropharynx (A), hypopharynx (B) and larynx (C). D. Sagittal plane appearance.
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case_images: F3
case_images: Direct laryngoscopy confirmed exophytic calcic deposits in the left pyriform sinus (figure 2 and 3).
case_images: Bone scintigram shows increased uptake of 99 mTc-methylene diphosphate in the calcified femoral arteries and on the anterior surface of the neck.
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case_images: F4
case_images: A bone scintigram showed increased uptake of 99 mTc-methylene diphosphate in the calcified femoral arteries and on the anterior surface of the neck (figure 4).
case_images: A. Temporal artery biopsy shows circumferential calcic deposits in the media (detail) (H&E stain). B. A pyriform sinus biopsy shows soft tissue calcification (arrows) (H&E stain).
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case_images: PMC1326214_01_1471-2261-5-34-5.jpg
case_images: F5
case_images: Biopsy specimens from the pharynx and temporal artery revealed soft tissue calcification and medial artery calcinosis, respectively (Figure 5).