99mTc-Sestamibi Scintigraphy Reveals Parathyroid Adenoma Masquerading as Esophageal Diverticulum

ABSTRACTA 74-year-old woman with primary hyperparathyroidism diagnosed from routine laboratory tests described symptoms of fatigue and difficulty with concentration. During surgical consultation, the cervical and thoracic spine MRI scans from the preceding 10-year period, performed for relapsing-rem...

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Bibliographic Details
Published in:Clinical nuclear medicine 2021-03, Vol.46 (3), p.e159-e161
Main Authors: Kay, Matthew D, Morris-Wiseman, Lilah F, Caskey, Justin, Winegar, Blair A, Kuo, Phillip H
Format: Article
Language:English
Subjects:
Aged
Diagnosis, Differential
Diverticulum, Esophageal - diagnostic imaging
Female
Humans
Magnetic Resonance Imaging
Parathyroid Neoplasms - diagnostic imaging
Single Photon Emission Computed Tomography Computed Tomography
Technetium Tc 99m Sestamibi
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Summary:ABSTRACTA 74-year-old woman with primary hyperparathyroidism diagnosed from routine laboratory tests described symptoms of fatigue and difficulty with concentration. During surgical consultation, the cervical and thoracic spine MRI scans from the preceding 10-year period, performed for relapsing-remitting multiple sclerosis, were reviewed. In this clinical context, the slowly enlarging left upper paraesophageal lesion, reported as a lateral proximal esophageal (Killian-Jamieson) diverticulum, was reevaluated for a potential parathyroid adenoma. Tc-sestamibi SPECT/CT demonstrated focal uptake in the paraesophageal lesion with surgical resection, confirming it to be a large parathyroid adenoma.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000003399