PMC1326214_01
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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F1
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).
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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F2
Direct laryngoscopy confirmed exophytic calcic deposits in the left pyriform sinus (figure 2 and 3).
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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F3
Direct laryngoscopy confirmed exophytic calcic deposits in the left pyriform sinus (figure 2 and 3).
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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F4
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).
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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F5
Biopsy specimens from the pharynx and temporal artery revealed soft tissue calcification and medial artery calcinosis, respectively (Figure 5).