CTICasesPrimary Hyperparathyroidism and LVH
Imaging findings
Chest CT shows an intensely enhancing, low-attenuation soft tissue nodule adjacent to the right lobe of the thyroid, separate from thyroid tissue, and marked left ventricular hypertrophy. Serum parathormone and calcium were elevated.
Key takeaways
Ectopic or orthotopic parathyroid adenomas enhance intensely on contrast CT and are dark on non-contrast scans. Left ventricular hypertrophy is a common, reversible cardiovascular manifestation of primary hyperparathyroidism.
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