Dear Colleague, although the blood and calcification on CT appear both bright white, there is an easiest way to discern: just look at the bone algorithm of the scan. There you will not see the blood whereas the calcification will be still bright. Another more precise way is to use the Hounsfield gray scale from the software of the CT.
Both appear hyper-dense, but with the help of CT number you can differentiate between them. Blood appearance depends on the region ie: sub dural (crescent shape), epidural (biconvex shape) and sub arachnoid spread. Calcification is accompanied with atropy and may mid line shift.
Here comes the role of dual energy Ct.Hemorrhagic and calcific lesions with attenuation levels between 50 and 100 HU were differentiable using DECT in a clinically relevant phantom system with >90% accuracy.https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25162534