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Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

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Bilateral, symmetrical soft tissue calcifications in the face.

Josue Vazquez¹, Daniel I Rosenthal

¹Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Yawkey 6, Boston, MA, 02114, USA. josuebmw3@gmail.com

Skeletal Radiology

|January 6, 2010

Summary

Facial injections of calcium hydroxylapatite can cause soft tissue calcifications mimicking other conditions. Recognizing this cosmetic treatment history is crucial for accurate radiographic interpretation.

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Novel Quantification Protocol for Cardiovascular Calcification Progression Using Longitudinal MicroPET/MicroCT Images

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Published on: November 15, 2024

Area of Science:

Radiology
Cosmetic Dermatology
Biomaterials

Background:

Bisphosphonate therapy is associated with medication-related osteonecrosis of the jaw.
Soft tissue calcifications can arise from various etiologies, complicating imaging interpretation.
Calcium hydroxylapatite (CaHA) fillers are increasingly used for cosmetic facial augmentation.

Observation:

A 50-year-old woman presented with jaw pain and radiographic evidence of ill-defined soft tissue calcifications.
Calcifications were noted bilaterally over the maxilla, mandible, and zygomatic bones, with normal underlying bone.
Computed tomography (CT) confirmed the soft tissue calcifications.

Findings:

Initial differential diagnoses were broad, including dystrophic calcification or metastatic calcification.
Patient history revealed prior facial injections with a calcium hydroxylapatite-based dermal filler for cosmetic purposes.
The observed calcifications represented the injected CaHA material.

Implications:

The imaging appearance of CaHA fillers must be recognized by radiologists to prevent misdiagnosis.
Awareness of cosmetic procedures is essential for accurate interpretation of head and neck imaging.
This case highlights the importance of a thorough patient history in diagnostic imaging.