EURORAD ESR

Case 15303

Brown tumours as initial finding in tertiary hyperparathyroidism

Author(s)
Sofia Amante1, Carolina Ormonde2, Mariana Chaves1, Diogo Garrido1, Rui Amaral1, Isabel Basto1

(1) Serviço de Radiologia
Hospital do Divino Espírito Santo de Ponta Delgada, Açores;
Email: sofia.ma.1990@gmail.com
(2) Serviço de Nefrologia
Hospital do Divino Espírito Santo de Ponta Delgada, Açores.
 
Patient
female, 33 year(s)
 
 
  • Figure 1
    Chest radiography

    Radiopaque and expansile lesions involving multiple costal arches.

     
    Area of Interest: Bones; Musculoskeletal bone; Thorax; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Endocrine disorders; Metabolic disorders;
     
     
  • Figure 2
    Axial and coronal unenhanced CT
     

    Expansile, well-corticated and “bubbly” lesions, involving several costal arches.

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Education; Special Focus: Endocrine disorders; Metabolic disorders; Transplantation;

    Expansile, well-corticated and “bubbly” lesions, involving several costal arches.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Endocrine disorders;
     
     
  • Figure 3
    Plain radiograph of lumbar spine

    Alternating bands of sclerosis and lucency throughout the lumbar spine - “Rugger Jersey” spine – and an osteolytic and expansile lesion of costal arch.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Endocrine disorders;
     
     
  • Figure 4
    Plain radiograph of pelvis

    Osteolytic lesions with sclerotic borders and slightly expansile within both femurs.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Endocrine disorders;
     
     
  • Figure 5
    Plain radiograph of hands

    Subperiosteal bone resorption in the radial aspect of the middle falanges (arrow).

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Endocrine disorders;
     
     
  • Figure 6
    Neck ultrasound

    Hypoechoic nodule adjacent to thyroid’s left lower pole (dotted lines).

     
    Area of Interest: Thyroid / Parathyroids; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Endocrine disorders;
     
     
Radiopaque and expansile lesions involving multiple costal arches.
 
Expansile, well-corticated and “bubbly” lesions, involving several costal arches.
 
Expansile, well-corticated and “bubbly” lesions, involving several costal arches.
 
Alternating bands of sclerosis and lucency throughout the lumbar spine - “Rugger Jersey” spine – and an osteolytic and expansile lesion of costal arch.
 
Osteolytic lesions with sclerotic borders and slightly expansile within both femurs.
 
Subperiosteal bone resorption in the radial aspect of the middle falanges (arrow).
 
Hypoechoic nodule adjacent to thyroid’s left lower pole (dotted lines).
 
 
 
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