EURORAD ESR

Case 9652

Brown tumors as initial finding in primary hyperparathyroidism

Author(s)
Matos H, Barbosa L, Estevão A

Centro Hospitalar de Coimbra, Portugal
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Plain radiograph of knees
     

    Right knee - Osteolytic lesions (arrow) within both patellas, with sclerotic borders, slightly expansile.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;

    Left knee - Osteolytic lesions (arrow) within both patellas, with sclerotic borders, slightly expansile.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;
     
     
  • Figure 2
    CT of knees
     

    Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Bone window.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;

    Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Bone window.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;

    Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Soft tissue window.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;
     
     
  • Figure 3
    Plain radiograph of hands
     

    Subperiosteal bone resorption in the radial aspect of the middle phalanges.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;

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

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders;
     
     
  • Figure 4
    Neck ultrasound

    Hypoechoic mass within the right parathyroid gland (arrow).

     
    Area of Interest: Thyroid / Parathyroids; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Right knee - Osteolytic lesions (arrow) within both patellas, with sclerotic borders, slightly expansile.
 
Left knee - Osteolytic lesions (arrow) within both patellas, with sclerotic borders, slightly expansile.
 
Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Bone window.
 
Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Bone window.
 
Expansile lesions in the medullary space of both patella (arrow). No soft tissue mass was present. Soft tissue window.
 
Subperiosteal bone resorption in the radial aspect of the middle phalanges.
 
Subperiosteal bone resorption in the radial aspect of the middle phalanges (arrow).
 
Hypoechoic mass within the right parathyroid gland (arrow).
 
 
 
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