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  Indian J Med Microbiol
 

Figure 4: A 61-year female presenting with a lytic lesion involving the right acetabulum and right femoral head on the radiograph (b). Technetium-99m methylene diphosphonate bone scan (a) was performed as part of the metastatic survey. It showed findings of superscan with insufficiency fractures and brown tumor suggested the diagnosis of primary hyperparathyroidism which was confirmed on the parathyroid scintigraphy, done after injecting 555 MBq of technetium-99m methoxy-isobutyl-isonitrile (MIBI) scan and acquiring anterior images of neck and upper thorax at 20 min and 2 h which showed parathyroid adenoma in the left upper parathyroid gland. left upper parathyroid gland (c). The patient was operated and parathyroid adenoma was removed (d). At present, the patient is doing well after 1 year of follow-up

Figure 4: A 61-year female presenting with a lytic lesion involving the right acetabulum and right femoral head on the radiograph (b). Technetium-99m methylene diphosphonate bone scan (a) was performed as part of the metastatic survey. It showed findings of superscan with insufficiency fractures and brown tumor suggested the diagnosis of primary hyperparathyroidism which was confirmed on the parathyroid scintigraphy, done after injecting 555 MBq of technetium-99m methoxy-isobutyl-isonitrile (MIBI) scan and acquiring anterior images of neck and upper thorax at 20 min and 2 h which showed parathyroid adenoma in the left upper parathyroid gland. left upper parathyroid gland (c). The patient was operated and parathyroid adenoma was removed (d). At present, the patient is doing well after 1 year of follow-up