Abstract
The authors report the utility of very delayed Tc-99m methoxyisobutyl isonitrile (MIBI) SPECT for localization of a parathyroid adenoma. This case illustrates that very delayed MIBI SPECT could successfully be used in patients with a high clinical suspicion of primary hyperparathyroidism and when all diagnostic studies, including early MIBI SPECT parathyroid scintigraphy, fail to localize the parathyroid adenoma.
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