Presentation
Chronic fatigue and bone pain.
Patient Data
An oval, smooth, well-defined mass is seen at the right anterior aspect of the trachea just inferior to the right thyroid lobe, the mass is almost iso-dense in the arterial phase and slightly hypo dense to the thyroid gland on the native and delayed phase of contrast injection.
The green arrow points to the parathyroid adenoma.
Case Discussion
As part of her work-up, a blood investigation reveals a high calcium level of 13 mg/dl, a parathyroid hormone level of 450 pg/ml, and the delayed images of the Tc-99m sestamibi scan (not uploaded) showed complete tracer washout from both thyroid lobes with focal tracer retention at the site of the right lower parathyroid gland suggesting right sided parathyroid adenoma.