99mTc-Sestamibi Scintigraphy Reveals Parathyroid Adenoma Masquerading as Esophageal Diverticulum

Matthew D. Kay, Lilah F. Morris-Wiseman, Justin Caskey, Blair A. Winegar, Phillip H. Kuo

Research output: Contribution to journalArticlepeer-review

Abstract

A 74-year-old woman with primary hyperparathyroidism diagnosed from routine laboratory tests described symptoms of fatigue and difficulty with concentration. During surgical consultation, the cervical and thoracic spine MRI scans from the preceding 10-year period, performed for relapsing-remitting multiple sclerosis, were reviewed. In this clinical context, the slowly enlarging left upper paraesophageal lesion, reported as a lateral proximal esophageal (Killian-Jamieson) diverticulum, was reevaluated for a potential parathyroid adenoma. 99mTc-sestamibi SPECT/CT demonstrated focal uptake in the paraesophageal lesion with surgical resection, confirming it to be a large parathyroid adenoma.

Original languageEnglish (US)
Pages (from-to)e159-e161
JournalClinical nuclear medicine
Volume46
Issue number3
DOIs
StatePublished - 2021

Keywords

  • Tc-sestamibi scan
  • Killian-Jamieson diverticulum
  • parathyroid adenoma
  • parathyroid scan

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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