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.
From the case:
Hyperparathyroidism with erosion of dens
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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.