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Radiology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(3):318-319.
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Diagnosis: Massive cervicothoracic hematoma due to extracapsular rupture of a parathyroid adenoma
The patient was initially treated conservatively with intravenous steroids and antibiotics as well as nebulized adrenaline, and her symptoms resolved within 5 days. There was evidence of an area of hemorrhage within the right inferior parathyroid gland, extending into the superior mediastinum. This finding was further supported by technicium 99m sestamibi SPECT imaging of the parathyroid glands, which demonstrated a right thyroid adenoma.
The contrast-enhanced axial CT images of the neck and superior mediastinum showed a nodule behind the right lobe of the thyroid gland (Figure 2, arrow) that contained a focus of high density. In the absence of unenhanced scans, the high-density focus might be interpreted as an enhancing thyroid nodule, but it was actually caused by an acute hemorrhage within a right inferior parathyroid adenoma. Surrounding the area of acute hemorrhage, there was a soft-tissue density mass posterior to the thyroid that extended to the superior . . . [Full Text of this Article]
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Radiology Quiz Case 1
Nilantha De Zoysa, Sarju Vasani, Vyas Prasad, and Michael Stearns
Arch Otolaryngol Head Neck Surg. 2009;135(3):316.
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