MRI in hyperparathyroidism requiring reoperation.
A 34-year-old woman presented with persistent hyperparathyroidism (HPT) following primary surgical removal of a hypertrophied parathyroid gland. Reevaluation ultrasound (US), computed tomography (CT), and parathyroid scintigraphy studies were negative for parathyroid adenoma. Magnetic resonance imaging (MRI) clearly identified an ectopic parathyroid adenoma within the lateral carotid sheath. Uncomplicated surgical extirpation of the adenoma was accomplished. We discuss the role of US, CT, parathyroid scintigraphy, and MRI in recurrent HPT.
Department of Radiology, Medical College of Georgia, Augusta 30912-3900.
F W
FW
Flickinger
Sathyanarayana
J E
JE
White
E B
EB
McWhirt
D000236:Adenoma / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D002828:Choristoma / Q000175:diagnosis; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D010280:Parathyroid Glands; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis*; D012008:Recurrence; D012086:Reoperation