Parathyroid Case 2

Details on the Request Card

84 year old with probably primary hyperparathyroidism, Calcium 2.7, PTH 187 (N=8-63)

Procedure

Early and late anterior images (top row) are compared with thyroid images below

scan image

Questions

1) Any evidence of a parathyroid abnormality?
2) What are A+B?
3) Should patients with a doubtful diagnosis of hyperparathyroidism have parathyroid scintigraphy to assist the diagnosis?

Click here to see the answer

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.