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  Indian J Med Microbiol
 

Figure 4: Tc 99m sestamibi parathyroid Scan (a): Increased uptake at the lower aspect of left lobe of thyroid which persists on the delayed image at 2 hours while the thyroid gland shows normal washout, suggestive of left inferior parathyroid. Increased uptake is noted in the maxilla and the mandible. Ultrasound (b): All four enlarged parathyroid nodules seen in usual locations. Right superior parathyroid (RSP) 24 mm × 9 mm × 18 mm behind right mid thyroid. Right inferior-14 mm × 13 mm × 10 mm at right thyroid lower pole. Left superior-11 mm × 6 mm × 5 mm–behind left mid thyroid. Left inferior-16 mm × 13 mm × 14 mm at left thyroid lower pole

Figure 4: Tc 99m sestamibi parathyroid Scan (a): Increased uptake at the lower aspect of left lobe of thyroid which persists on the delayed image at 2 hours while the thyroid gland shows normal washout, suggestive of left inferior parathyroid. Increased uptake is noted in the maxilla and the mandible. Ultrasound (b): All four enlarged parathyroid nodules seen in usual locations. Right superior parathyroid (RSP) 24 mm × 9 mm × 18 mm behind right mid thyroid. Right inferior-14 mm × 13 mm × 10 mm at right thyroid lower pole. Left superior-11 mm × 6 mm × 5 mm–behind left mid thyroid. Left inferior-16 mm × 13 mm × 14 mm at left thyroid lower pole