EURORAD ESR

Case 11018

Parathyroid cystic adenoma causing primary hyperparathyroidism and brown tumours

Author(s)
Scionti A, Fui G, Angeli S, Neri E, Bartolozzi C.

Diagnostic and Interventional Radiology,
University of Pisa, Italy
 
Patient
female, 53 year(s)
 
 
  • Figure 1
    CT images with and without iv contrast medium.
     

    Cystic mass (64x56mm)

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Contrast-enhanced images show the marginal solid portion and the cystic features.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Cysts;

    MPR coronal plane

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    MPR sagittal plane

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    MPR sagittal plane showing the lesion's relationship with the oesophagus

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    SPECT findings

    SPECT image shows increased uptake of Sestamibi in the same lesions site as revealed by CT.

     
    Area of Interest: Head and neck; Imaging Technique: SPECT-CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 3
    Barium swallow

    Barium swallow shows an external impression of the oesophagus, resulting in lumen reduction.

     
    Area of Interest: Head and neck; Imaging Technique: Fluoroscopy; Procedure: Barium meal; Special Focus: Swallowing disorders;
     
     
  • Figure 4
    AP radiograph of the left leg and the right hand
     

    X-ray of the left tibia revealing two lesions

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Cysts;

    X-ray of the fifth metacarpus revealing one lesion.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
Cystic mass (64x56mm)
 
Contrast-enhanced images show the marginal solid portion and the cystic features.
 
MPR coronal plane
 
MPR sagittal plane
 
MPR sagittal plane showing the lesion's relationship with the oesophagus
 
SPECT image shows increased uptake of Sestamibi in the same lesions site as revealed by CT.
 
Barium swallow shows an external impression of the oesophagus, resulting in lumen reduction.
 
X-ray of the left tibia revealing two lesions
 
X-ray of the fifth metacarpus revealing one lesion.
 
 
 
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