Clinical Presentation

A 34-year-old woman presents with a ureteral stone. Subsequent workup reveals elevated calcium and parathyroid hormone levels.

Fig. 65.1 Top row: 20-minute images; bottom row: 2-hour images. The middle column shows marker views.

Technique

• Approximately 20 mCi of ^99mTc-sestamibi injected intravenously

• High-resolution collimator

• Anterior view of the neck and chest done at 20 minutes and 2 hours after injection

• Pinhole view of the thyroid bed done at 20 minutes and 2 hours after injection

Image Interpretation