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Secondary hyperparathyroidism

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Generalized bony aches in chronic renal failure patient.

Patient Data

Age: 55 years old
Gender: Male

CT scout

ct

CT scout image shows right lower ureteric stone, pancreatic calcification and left hip prothesis

Bilateral hydronephrosis and right lower ureteric stone. Associated changes of secondary hyperparathyroidism include pancreatic, aortic and seminal vesicle calcification as well as typical bone changes that include looser zone (fracture posterior ribs), combined bone loss and osteosclerosis and multiple small lytic bony lesions of bone resorption.

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