Abstract
Dual isotope parathyroid imaging performed on a 47-year-old man with known papillary thyroid cancer and biochemical hyperparathyroidism showed residual concentration of sestamibi consistent with a right inferior parathyroid adenoma. Subsequent thyroidectomy and parathyroidectomy was performed. Histology revealed a left superior parathyroid adenoma and normal right inferior parathyroid gland. Right inferior parathyroid adenoma on scintigraphy was, in fact, a cervical lymph node metastasis from the papillary thyroid carcinoma.
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