SONOWORLD : Right parathyroid adenoma

Username

Password

176,351 Registered Members as of 09/19/2019.

JavaScript must be enabled in order for you to use Sonoworld.com in standard view. However, it seems JavaScript is either disabled or not supported by your browser. To use standard view, enable JavaScript by changing your browser options, then try again.

Thyroid/parathyroid » General

Right parathyroid adenoma

« Back to Listing

Author(s) :

Oksana H. Baltarowich, MD

Chaitali Shah, FRCR

Presentation A young man presents with painless swelling on the right side of the neck of 15 days duration. An ultrasound of the neck was performed.

Caption: Transverse view of the right side of the neck

Description: A well-defined, oval, hypoechoic solid mass is seen posterior to the right lobe of thyroid and medial to the carotid. The mass has a homogeneous echotexture and a demarcating capsule, indicating its extra-thyroidal location.

Caption: Sagittal view of the right side of the neck

Description: The hypoechoic solid mass is seen here located posterior to the thyroid gland.

Caption: Color Doppler of the mass

Description: Vessels are demonstrated within the extra-thyroidal mass. This pattern of vascularity is more consistent with a parathyroid adenoma rather than a lymph node which typically demonstrates central hilar flow.

Caption: Power Doppler study of the mass

Description: There is increased vascularity in this mass compared to the adjacent thyroid vascularity, which is often seen with parathyroid adenoma.

Differential Diagnosis Right parathyroid adenoma, parathyroid carcinoma, lymph node

Final Diagnosis Right parathyroid adenoma

Follow Up Nuclear imaging and histopathology confirmed the diagnosis of a hypercellular parathyroid adenoma.

Other contents by this AuthorOther Cases in This Category

Thyroid/parathyroid >> General

Parathyroid adenoma
A 55 year old female presents with complaints of gastroesophageal reflux, crampy abdominal pain, depression and osteoporosis. Laboratory results showed a persistently elevated PTH levels.

Diffuse thyroiditis
A 25 year old femae presents with a one week history of a tender midline swelling of the neck. She also had complaints of palpitations and fine tremors of the hand. Laboratory features revealed ...

Papillary carcinoma of the thyroid with cervical nodal metastases
A 25 year old woman presented with firm right lateral neck swelling. She also had a six pound weight loss over a period of one month. An ultrasound of the neck was performed.

Papillary carcinoma of the thyroid
A 57 year old woman with left thyroid lobe enlargement. An ultrasound of the neck was performed.

Submandibular duct calculus
A young woman presented with pain in the right submandibular region. The patient said she could palpate something in her mouth since her pain had started.

Acute parotitis in a child
A 3-year-old girl presented with a very painful swollen right side of her face and neck and fever. This was the first episode. An ultrasound was performed.

Left parathyroid adenomas
A potential kidney donor was detected to have asymptomatic hypercalcemia. An ultrasound of the neck was performed.

Neonatal hyperthyroidism
This is the ultrasound scan of the neck in an infant with a history of maternal hyperthyroidism.

Submandibular gland sialolithiasis
A 9-year-old girl presents with recurrent painful swelling in the region of the left submandibular gland. On examination there was tender swelling with no signs of local inflammation. A focused ...

Parotid abscess with reactive lymphadenitis
This is the scan in a young kid with fever and a painful swelling of the right side of the face. She was treated with a 5-day- course of oral antibiotics; however there was minimal clinical ...

Parathyroid Adenoma causing medullary neprhocalcinosis
A 39 years old woman presents at the clinic suffering from bone and abdominal pains. The patient has been diagnosed as having osteoporosis.

Subacute Granulomatous Thyroiditis, de Quervain's thyroiditis
A 39-year-old man presents with acute onset of pain in the thyroid region, exacerbated by turning the head swallowing. The pain radiates to the jaw.

Malignant Melanoma Metastasis to Parotid Gland
A 79-year-old with a history of cutaneous melanoma of the head is referred for ultrasound examination for bilateral swelling of the parotid glands.

Hashimoto's Thyroiditis
A 31 years old female presents overweight, fatigue, constipation and dry skin. Laboratory features revealed increased levels of TSH, decreased levels of T3, T4 and increased levels of TPO anti. A ...