PMC9300921_01
Neck ultrasound showed a 3.6 cm round hypoechoic nodule posterior to the left inferior thyroid lobe with undefined margins; no signs of infiltration of local tissues were detected.
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Neck ultrasound showed a 3.6 cm round hypoechoic nodule posterior to the left inferior thyroid lobe with undefined margins; Colour Doppler showed increased vascularity in the nodule ( Figure 1 ).
Dual-phase Tc-99m sestamibi scintigraphy. Early (5 and 30 min.) and delayed (60 and 120 min.) images showed a persistent accumulation of radiopharmaceuticals in the left inferior parathyroid region.
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The same lesion was detected by Technetium-99m MIBI scan, documenting a persistent uptake in the left inferior parathyroid region ( Figure 2 ).
Intense glucose uptake in the anterior neck region was observed at 18-FDG PET/CT scan (A). The exam also documented a peripheral mild glucose uptake from several abdominal masses (B).
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Furthermore, 18-FDG PET/CT showed mild glucose uptake from abdominal masses, suspicious of inflammatory processes; diffuse glucose uptake from skeletal lesions; and intense homogenous uptake in the anterior neck region, with SUVmax value of 4.8 ( Figure 3 ).
Consistent reduction of the inhomogeneous abdominal masses, as for physiological evolution of pancreatitis in resolution, documented at CT scan.
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The CT scan also showed a consistent reduction of the inhomogeneous abdominal masses, as for physiological evolution of pancreatitis in resolution ( Figure 4 ).
X-ray of articular sites, such as wrist (A) and elbow (B) showed a cartilaginous deposit of calcium pyrophosphate, as for chondrocalcinosis.
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Ultrasound articular imaging of hands, wrists, elbows, knees, and ankles showed the presence of calcification in the cartilage around the joints, associated with synovitis; X-ray of the same sites confirmed a cartilaginous deposit of calcium pyrophosphate, as for chondrocalcinosis ( Figure 5 ).