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COURSE on THYROID ULTRASOUND

Section 4 Non-thyroidal elements in the anterior neck region

Part 1 Parathyroid lesions

Videolibrary

Parathyroid lesions - case 878

Clinical data: A 61-year-old woman was referred for preoperative localization of a parathyroid adenoma. The patient has been treated for hypothyroidism for seven years. Recently, hyperparathyroidism was diagnosed on evaluation of osteoporosis. MIBI scintigraphy disclosed increased uptake according to one of the left parathyroids.

Palpation: no abnormality.

Laboratory data: TSH 2.81 mIU/L on daily 75 microgram levothyroxine. Serum-parathormone 117.2 pg/mL (normal value 12-88), serum calcium 2.97 mM/L, phosphorus 0.60 mM/L.

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