EURORAD ESR

Case 3186

Parathyroid adenoma in a young patient with primary hyperparathyroidism

Author(s)
Trieb T, Kovacs P, Gabriel M, Prommegger R, Bale RJ
 
Patient
male, 13 year(s)
 
 
  • Figure 1
    X-ray of the left hand

    Sub- and endosteal bone resorption along middle phalanges (arrow head). Widened ulnar and radial growth plates (arrows)

     
     
     
  • Figure 2
    Column of the spine -- Rugger-Jersey-Spine

    In the lateral view of the thoracic spine, osteosclerotic bands are seen on both end plates of the vertebrae - known as Rugger-Jersey-Spine.

     
     
     
  • Figure 3
    Hypoechogenic, hypervascularized mass behind the thyroid gland

    A 1.5 cm hypoechogenic mass can be seen behind the left lobe of the thyroid gland with hypervascularization and multiple small cysts.

     
    Area of Interest: unknown; Imaging Technique: Hypoechogenic, hypervascularised mass behind the thyroid gland.;
     
     
  • Figure 4
    CT -- axial section

    A well-delineated ovoid mass behind the left lobe of the thyroid gland can be seen with multiple small cysts. The mass is hypodense with respect to the thyroid.

     
    Area of Interest: unknown; Imaging Technique: CT - axial section;
     
     
  • Figure 5
    MIBI -- SPECT

    A coronal multiplanar reconstruction of the MIBI SPECT dataset is depicted. The "hot spot" can be localized dorso-caudal to the left thyroid gland.

     
    Area of Interest: unknown; Imaging Technique: MIBI - SPECT;
     
     
  • Figure 6
    Gross specimen

    Gross specimen: Encapsulated mass with a diameter of 15 mm x 15 mm x 15 mm.

     
     
     
Sub- and endosteal bone resorption along middle phalanges (arrow head). Widened ulnar and radial growth plates (arrows)
 
In the lateral view of the thoracic spine, osteosclerotic bands are seen on both end plates of the vertebrae - known as Rugger-Jersey-Spine.
 
A 1.5 cm hypoechogenic mass can be seen behind the left lobe of the thyroid gland with hypervascularization and multiple small cysts.
 
A well-delineated ovoid mass behind the left lobe of the thyroid gland can be seen with multiple small cysts. The mass is hypodense with respect to the thyroid.
 
A coronal multiplanar reconstruction of the MIBI SPECT dataset is depicted. The "hot spot" can be localized dorso-caudal to the left thyroid gland.
 
Gross specimen: Encapsulated mass with a diameter of 15 mm x 15 mm x 15 mm.
 
 
 
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