ARRS 2022 Abstracts

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E1254. Musculoskeletal Manifestations of Hyperparathyroidism and What the Radiologist Needs to Know
Authors
  1. Sean Connor; University of New Mexico
  2. Jonathan Revels; University of New Mexico
  3. Joshua Bodrero; University of New Mexico
  4. Jennifer Weaver; University of New Mexico
  5. Sherry Wang; University of Utah
  6. Jacob Ormsby; University of New Mexico
  7. Christine Rehwald; University of Washington
Background
Excessive parathyroid hormone can be due to primary processes (i.e., parathyroid adenoma), secondary processes (i.e., renal failure), or tertial processes. Many of the radiologic manifestations of hyperparathyroidism affect the musculoskeletal systems. As such, radiologist should be familiar with these appearances so as to not mistake the imaging findings for more ominous diagnoses.

Educational Goals / Teaching Points
After reviewing this educational exhibit, the learner will have an improved understanding of the etiology of hyperparathyroidism; the clinical and radiological workup of hyperparathyroidism; the musculoskeletal manifestations of hyperparathyroidism on radiographs, CT, and MRI; and the role of dual-energy x-ray absorptiometry (DEXA) in evaluating patients with hyperparathyroidism.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This educational exhibit primarily focuses on the musculoskeletal radiological manifestations of hyperparathyroidism and its appearance on radiography, CT, MRI, nuclear medicine, and DEXA studies. Additional topics reviewed include the role of radiology in the evaluation of hyperparathyroidism and some non-musculoskeletal radiological manifestations of hyperparathyroidism.

Conclusion
Radiology plays a key role when patients are undergoing evaluation of hyperparathyroidism, from the initial diagnosis to systemic complications. Therefore, familiarity with the manifestations of hyperparathyroidism is paramount for radiologists.