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Insights into Imaging
Fig. 8 | Insights into Imaging

Fig. 8

From: Atypical ultrasound features of parathyroid tumours may bear a relationship to their clinical and biochemical presentation

Fig. 8

a, b Neck ultrasonography of a 31-year-old female patient with primary hyperparathyroidism shows evidence of double adenoma involving the right and left inferior parathyroid glands. The left inferior parathyroid lesion was predominantly cystic. c, d Tc-99m sestamibi scintigraphy and SPECT revealed only the right inferior parathyroid adenoma and the left inferior lesion seen on ultrasonography was not seen. e High-power photomicrograph (×100, H&E stain) of the left inferior parathyroid lesion, which was negative on scintigraphy and SPECT, shows acinar dilatation (arrowheads) and haemorrhage

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