Hyperparathyroidism LSBU

Description: Radiology case 438-5319 Clinical presentation: Spontaneous fracture of the neck of the right femur precipitated a hospital admission for this middle aged male, where a markedly raised serum calcium was identified. Eventually, a small mass was removed from the neck.
The images show acro-osteolysis of the terminal phalanges, which improved in later images. The lace-like margins of the restored tufts gradually appear in the post-op views. The wasting of the phalanges also resolves. The appearance of some soft-tissue vascular calcification in the later views is interesting, presumably a combination of still elevated calcium levels and decreasing mobilisation of calcium from the decreasing parathormone levels.