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A 68-year-old woman with endometrioid cystadenocarcinoma of the ovary with metastases to the retroperitoneal lymph nodes. Axial contrast-enhanced CT shows densely calcified left para-aortic lymphadenopathy (arrows on left). After 8 months of chemotherapy, disease progressed with increasing soft tissue and decreasing calcification within the nodes (arrows on right). Over this period, CA125 increased from 1439 to 3838 units/ml.
