There is a well-defined heterogeneously enhanced soft tissue mass lesion posteroinferior to the right thyroid lobe with retrosternal extension. No calcification seen. Appearances suggest a right parathyroid adenoma.
There is diffuse osteopenia involving the visualised skeleton. Evidence of advanced bone resorption, subperiosteal erosions as well as bony erosions are noted, more advanced at the pelvic bones including the ilium, acetabulum, sacral and hip bones. Right hip acetabulum protrusion is noted with an associated joint effusion.
The spine shows diffuse osteopenia with reduced vertebral height and bony erosions at L2.
The overall CT picture is impressive primary hyperparathyroidism due to a right inferior parathyroid adenoma.