The Solitary Pulmonary Nodule on Chest Radiography
Can We Really Tell If the Nodule Is Calcified?
William G. Berger1,2,
William K. Erly1,
Elizabeth A. Krupinski1,
James R. Standen1 and
Robert G. Stern1,3
1
Department of Radiology, The University of Arizona, 1501 N. Campbell Ave.,
Tucson, AZ 85724-5067.
2
Present address: Department of Radiology, San Francisco General Hospital, 100
Potrero Ave., San Francisco, CA 94110.
3
Department of Radiology, Veterans Affairs Medical Center, 3601 S. 6th Ave.,
Tucson, AZ 85723.

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Fig. 1A. 53-year-old man with "definitely calcified
nodule." Posteroanterior radiograph shows right lower lobe nodule
(arrows) judged "definitely calcified" by three of 14
observers who interpreted study. Nodule projects over both anterior and
posterior ribs, and projection may have made radiograph appear relatively more
dense.
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Fig. 1B. 53-year-old man with "definitely calcified
nodule." CT scan fails to show evidence of calcification.
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Fig. 2A. 65-year-old man with "definitely calcified
nodule." Posteroanterior radiograph shows ill-defined nodule
(arrows) in right mid lung believed to be definitely calcified by one
observer. Vessels on end (arrowheads) may have given appearance of
central calcification.
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Fig. 2B. 65-year-old man with "definitely calcified
nodule." CT scan of second nodule misclassified as "definitely
calcified" by one observer. Nodule was subsequently shown to be squamous
cell carcinoma.
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Copyright © 2001 by the American Roentgen Ray Society.