Joint Program in Nuclear Medicine

Hypercalcemia

Presentation

A 53 year old female had an incidental finding of hypercalcemia. A diagnosis of primary hyperparathyroidism was made and localization of a parathyroid adenoma responsible for the increased parathormone was desired.

Imaging Technique

Anterior cervicothoracic images were obtained with a large field of view camera equipped with a low-energy, high resolution, parallel hole collimator at 20 minutes (shown on left). Repeat set of images were obtained at two hours post-injection (shown on right). Both initial and delayed images were obtained for ten minutes each.

Images

Parathyroid scintigraphy

Description of Findings

Full case report

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J. Anthony Parker, MD PhD, Tony_Parker@bidmc.harvard.edu