Parathyroid adenoma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Osteopenic and low calcium levels.

Patient Data

Age: 40 years
Gender: Female
mri
This study is a stack
Sagittal
T2
This study is a stack
Coronal
STIR
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial
STIR
This study is a stack
Axial
DWI
This study is a stack
Axial T1
fat sat
This study is a stack
Axial
T1 C+
This study is a stack
Coronal
T1 C+
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Axial T1
C+ fat sat
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Info

Left lower deep cervical well defined soft tissue mass lesion is seen attached to the inferior pole of the left thyroid lobe. It measures 1.4x1.2 x 2.5 cm along its max TS, AP & CC dimensions. It elicits low signal at T1 high T2 signal at T2 & STIR WI with mild diffusion restriction and post contrast enhancement.

Parathyroid scan

Nuclear medicine
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Info

Immediately caudal to the left thyroid lobe, there is punctate uptake in the early phase (15 min registration) that remains active during the late phase (2 hours). The localization of this uptake matches the lesion identified on MRI confirming parathyroid adenoma.

Annotated image
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Info

Well defined soft tissue mass lesion is abutting the inferior pole of the left thyroid lobe. It shows punctate uptake in the early phase (15 min registration) that remains active during the late phase (2 hours) characteristic of parathyroid adenoma.

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