case_images: PMC10656797_01
case_images: Imaging workup of the patient. (a) Plain X-ray showing an impacted fracture base of right fifth metacarpal bone. (b) Technetium-99 m (SESTAMIBI) scan showing abnormal increased radioactivity at the anatomical site of left upper parathyroid gland consistent with parathyroid adenoma. (c) Neck ultrasound showing an enlarged 10 mm x 6 mm x 3 mm left upper parathyroid gland consistent with parathyroid adenoma. (d) Non-contrast computed tomography of the abdomen showing left kidney multiple small calyceal stones and medullary nephrocalcinosis.
case_images: 10.1177_20420188231213208-fig1.jpg
case_images: PMC10656797_01_10.1177_20420188231213208-fig1.jpg
case_images: fig1-20420188231213208
case_images: A 45-year-old premenopausal female presented with an impacted fracture of the base of the right fifth metacarpal bone in August 2012 [Figure 1(a)]. A Technetium-99 m (SESTAMIBI) scan revealed a left upper parathyroid adenoma, that was also confirmed in an ultrasound examination of the neck measuring 10 mm x 6 mm x 3 mm [Figure 1(b) and (c)]. Creatinine was normal at 0.61 mg/dL (N: 0.5-0.9), but an abdominal CT scan revealed left kidney medullary nephrocalcinosis and nephrolithiasis as multiple calyceal stone averaging 6 mm in maximum dimension [Figure 1(d)].