Massive myocardial calcification is a very rare finding. Accurate
identification and characterization may help the clinicians to determine
the etiology and clinical significance. In this case, the diagnostic
pathway excluded previous myocardial infarction, myocarditis and
calcium-phosphate disorders. A possible dystrophic etiology was
considered. There are no standardized imaging features available to
classify specific subtypes of intramyocardial calcifications. The
relative merits of cardiac computed tomography and magnetic resonance in
providing complimentary diagnostic information for calcific myocardial
lesions is shown. Knowledge of the potential etiology and their imaging
patterns are important to provide a concise and accurate differential
diagnosis.