Hyperparathyroidism with erosion of dens

Case contributed by Wael Nemattalla
Diagnosis almost certain

Presentation

Adult male with chronic renal failure on hemodialysis and secondary hyperparathyroidism.

Patient Data

Age: 40 years

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Note the expansile lytic lesion at left side of dens with sclerotic rim. The patient has lytic lesions elsewhere including mandible and skull base (not shown) consistent with hyperparathyroidism.

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