Presentation
A female presented with a history of generalized bone pain. The serum parathyroid hormone is elevated. She was referred for a neck ultrasound to rule out/rule in a parathyroid adenoma.
Patient Data
![](https://prod-images-static.radiopaedia.org/images/1564119/d2e3c68222298251d51770569d837f_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/52466707/32de99b12daa36c5cd9edffc9b9c94_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/1564119/d2e3c68222298251d51770569d837f_big_gallery.jpg)
There is a presence of generalized osteopenia. However, there is no bone lesion/ fracture. The intervertebral disc spaces are maintained.
![](https://prod-images-static.radiopaedia.org/images/1564133/62be702276cd098f0717bee8b0895d_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/1564139/f252b247cc09de994c72ff1bfaa6a3_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/1564147/ab65f09bc357ceac8687fe48e6d745_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/1564149/276dd0573da7eec8047d344ee59f3b_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/1564158/0ebcacb5adb357ba06275dd7517321_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/1564133/62be702276cd098f0717bee8b0895d_big_gallery.jpg)
There is a well-defined, homogeneous lesion posterior-inferior to the right lobe of the thyroid gland. It is hypoechoic in comparison to the thyroid gland. There is no calcification/ cystic space in it. The lesion elevates the echogenic posterior capsule of the thyroid gland. Few flow signals are present in the lesion.
Case Discussion
A female presented with generalized bone pain. Laboratory investigation showed an elevated serum parathyroid hormone. The ultrasound shows a well-defined, solid, vascular lesion posterior to the thyroid gland. The lesion is very likely to be a parathyroid adenoma in view of the clinical background.
Surgical excision was done and histopathology confirmed the lesion being a parathyroid adenoma.