Parathyroid adenoma

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Hypercalcemia, PTH 270 ng/l.

Patient Data

Age: 65 years
Gender: Female
ultrasound

Sharply marginated, hypoechogenic lesion at the dorsal lower pole of the left thyroid lobe. Image provided by Caroline Mommsen.

Tc99m MIBI scintigraphy

Nuclear medicine

Parathyroid adenomas typically retain activity on late scans after wash-out in the thyroid has occurred. Images provided by Caroline Mommsen

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