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Slice 6 of 141
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CTMusculoskeletalConfirmedFRCR 2B
Parathyroid adenoma with brown tumors
Clinical Presentation
Presented with left hip pain for 1 month, aggravating on movement relieving on rest.
- 1Ill-defined lytic areawith pathological fracture noted inleft iliac bone
- 2Asimilar lytic areawas noted in the right iliac bone.Osteomalacia of the examined bones
- 3Multiple altered signal intensity lesionswere noted in bilateral iliac wings and ala of the sacrum on the right side
- 4This is hypointense on T1, hyperintense on T2 and IR images
- 5Few septations within
- 6A pathological fracture involving the left iliac wing, with surrounding T2 hyperintensity in gluteal medius and iliacus muscles - suggestive of oedema.These features were consistent with brown tumors
- 7Following this, a 4D CT of the neck was performed
- 8Hypodense lesionnoted in the visceral space of the neck on the left side, posterosuperior to the left lobe of the thyroid gland
- 9This lesion is seen extending superiorly up to the level of the upper border of thyroid cartilage
- 10inferiorly to C6 vertebral level