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September 20, 1965

Calcification in the Left Upper Quadrant or "All That Glisters..."

JAMA. 1965;193(12):1046-1047. doi:10.1001/jama.1965.03090120054014

Dr. Joseph T. Ferrucci, Jr.:  A 47-year-old white man complained of intermittent right flank pain which radiated subcostally for several months prior to admission. There was no jaundice, dysuria, fever, or weight loss. He also had symptoms of arterial insufficiency in the left leg and complained of angina for which he took glyceryl trinitrate tablets.Physical examination revealed a mild elevation of the blood pressure: systolic, 160 mm Hg; diastolic, 100. There was neither a palpable mass nor tenderness in the abdomen. The pulses of the left leg were slightly decreased. Intravenous pyelography was performed (Fig 1).


Dr. Laurence L. Robbins:  Dr. Mueller, what do you think about this examination?

Dr. H. Peter Mueller:  Consistently, through the entire examination, there is a density in the left upper quadrant which appears unrelated to the kidney and could very well represent an aneurysm of the celiac axis or the splenic artery.

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