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Research ArticleArticles

Clinical Images: Four-Dimensional Computed Tomography—Future of Preoperative Parathyroid Adenoma Imaging

Charles Matthews, Andrew Matthews and Kurosh Safavi
Ochsner Journal September 2017, 17 (3) 220-222;
Charles Matthews
1Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
2The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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Andrew Matthews
1Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
MD
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Kurosh Safavi
1Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
MD
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Article Figures & Data

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    Figure 1.

    Sonographic evaluation of the thyroid using grayscale and Doppler imaging demonstrates a heterogeneous solid nodule in the right lobe and a hypoechoic nodule in the left lobe but no evidence of a parathyroid adenoma in the neck.

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    Figure 2.

    Nuclear medicine sestamibi scan using 20.5 mCi of Technetium-99m sestamibi shows a heterogeneous distribution of the tracer within the thyroid gland compatible with multinodular goiter but no evidence of a parathyroid adenoma in the neck or mediastinum.

  • Figure 3.
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    Figure 3.

    Axial computed tomography scans of the neck before and after the administration of 75 cc Omnipaque 350 intravenous contrast show a subcentimeter soft tissue focus just posterior to the right lobe of the thyroid gland (arrow on all images). The nodule is of soft tissue attenuation on the noncontrast phase (A), is intensely hyperenhancing on the arterial phase (B), and washes out on the initial venous phase (C). These findings are compatible with a parathyroid adenoma.

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Vol. 17, Issue 3
Sep 2017
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Clinical Images: Four-Dimensional Computed Tomography—Future of Preoperative Parathyroid Adenoma Imaging
Charles Matthews, Andrew Matthews, Kurosh Safavi
Ochsner Journal Sep 2017, 17 (3) 220-222;

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Clinical Images: Four-Dimensional Computed Tomography—Future of Preoperative Parathyroid Adenoma Imaging
Charles Matthews, Andrew Matthews, Kurosh Safavi
Ochsner Journal Sep 2017, 17 (3) 220-222;
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