A 60
year old woman had a history of fatigue and nephrolithiasis. Her serum calcium
and parathyroid hormone levels were 11.45mg/dL (8.6-10.2) and 464,7pg/mL
(15-65) respectively. Her tubular phosphate reabsorption rate was 56% while her
chloride/phosphate ratio was 69,9. Her neck USG was normal. A parathyroid
scintigraphy revealed a mass extending from lower pole of the left thyroid lobe
to the mediastinal region with tracer retention. CT scan of neck and thorax
verified the mass below the aortic arch, which was nodular, isodense with the
thyroid gland and measured approximately 26x27 mm and detected another
hypodense nodule within this bigger nodular mass measuring 13x11mm.
Konular | Sağlık Kurumları Yönetimi |
---|---|
Bölüm | KLİNİK TIPTA ÖZGÜN GÖRÜNTÜLER / ORIGINAL IMAGES IN CLINICAL MEDICINE |
Yazarlar | |
Yayımlanma Tarihi | 21 Haziran 2016 |
Yayımlandığı Sayı | Yıl 2016 Cilt: 38 Sayı: 2 |