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Sachiko-Tsukamoto Kawashima, Takeshi Usui, Yohei Ueda, Maiko-Kakita Kobayashi, Mika Tsuiki, Kanako Tanase-Nakao, Kazutaka Nanba, Tetsuya Tagami, Mitsuhide Naruse, Yoshiki Watanabe, Ryo Asato, Sumiko Kato and Akira Shimatsu

asymptomatic hypercalcemia. Routine preoperative diagnostic tools, such as ultrasonography (US) or 99m technetium-sestamibi (99mTc-MIBI) scans, cannot clearly distinguish between these entities (2) . We report a hypercalcemic patient with a cervical cystic

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Lara Ulrich, Graham Knee and Colin Todd

impossible to exclude a malignancy on imaging alone. In order to exclude the possibility of a parathyroid carcinoma and treat her hypercalcaemia, she was referred for elective surgery. Figure 2 Subtraction sestamibi nuclear medicine scan showing a

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Mauro Boronat, Juan J Cabrera, Carmen Perera, Concepción Isla and Francisco J Nóvoa

-abdominal CT scan were negative. A 99m Tc SestaMIBI WBS disclosed a well-delimited focal uptake in the distal region of the right femur ( Fig. 1 ). A FDG-PET/CT study performed after rhTSH stimulation showed lytic resorption in the left iliac crest, just above

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Thien Vinh Luong, Lars Rejnmark, Anne Kirstine Arveschoug, Peter Iversen and Lars Rolighed

, depression, and tiredness. Treatment of primary HPT in MEN1 patients usually involves preoperative localization of enlarged PGs, typically with ultrasonography (US) and a 99m Tc-sestamibi scintigraphy (MIBI) often combined with a single photon emission and a

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Mona Abouzaid, Ahmed Al-Sharefi, Satish Artham, Ibrahim Masri, Ajay Kotagiri and Ashwin Joshi

ultrasonography, high-resolution computed tomography (CT) and technetium sestamibi scan of the neck. An ultrasound of the abdomen showed no nephrocalcinosis but a bone densitometry scan confirmed a diagnosis of osteoporosis which was mostly affecting the distal

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K Nadarasa, M Bailey, H Chahal, O Raja, R Bhat, C Gayle, A B Grossman and M R Druce

ultrasound scan of the parathyroid glands and Technetium-99m sestamibi imaging confirmed an abnormal right upper parathyroid gland. The patient underwent a parathyroidectomy and the histology revealed a 15×12×18 mm parathyroid carcinoma extending to the

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Caroline Bachmeier, Chirag Patel, Peter Kanowski and Kunwarjit Sangla

.06–0.45). 25-Hydroxycholecalciferol was 67 nmol/L (50–150 nmol/L). A parathyroid scan including pertechnate and Tc99m Sestamibi with early and delayed SPECT/CT of neck and mediastinum showed a solitary parathyroid adenoma in the lower pole of the left lobe of

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Peter Novodvorsky, Ziad Hussein, Muhammad Fahad Arshad, Ahmed Iqbal, Malee Fernando, Alia Munir and Sabapathy P Balasubramanian

of conditions, the most common being solitary thyroid adenoma, followed by benign and malignant lesions of the neck, breast or lung, thymic lesions or reactive lymph nodes ( 13 ). Although the sensitivity of the 99m Tc sestamibi scan is high in

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Aisling McCarthy, Sophie Howarth, Serena Khoo, Julia Hale, Sue Oddy, David Halsall, Brian Fish, Sashi Mariathasan, Katrina Andrews, Samson O Oyibo, Manjula Samyraju, Katarzyna Gajewska-Knapik, Soo-Mi Park, Diana Wood, Carla Moran and Ruth T Casey

is limited in pregnancy as computed tomography and the gold standard 99mTc Sestamibi scan are contraindicated because of the radiation risk to the foetus, and therefore, ultrasound remains the only suitable radiological imaging modality in pregnancy

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Deep Dutta, Chitra Selvan, Manoj Kumar, Saumik Datta, Ram Narayan Das, Sujoy Ghosh, Satinath Mukhopadhyay and Subhankar Chowdhury

thyroid cyst. Six milliliters of serous fluid were aspirated, iPTH measurement from which revealed a level of 3480 pg/ml. Figure 2 Tc 99m sestamibi scan did not reveal any functional parathyroid adenoma. Poor radiotracer uptake in the lower pole and