Neck - Part 7 Flashcards
What are the clinical findings of a parathyroid cyst? (3)
- Asymptomatic
- Female prevalence
- 60-70 years of age
What is the US appearance for a parathyroid cyst? (3)
- Anechoic mass located posterior and medial to the thyroid gland
- Smooth wall margins 3. Posterior acoustic
enhancement
What are 2 differential diagnosis for a parathyroid cyst?
- Thyroid cyst
2. Thyroglossal cyst
Is a parathyroid cyst more common in males or females?
Females
What is the common age range to find a parathyroid cyst?
60-70 years of age
What are the causes of hyperparathyroidism? (3)
- Parathyroid adenoma
- 80% - Renal disease
- Calcium and vitamin D deficiency
What are the clinical findings of hyperparathyroidism? (6)
- Elevated parathormone
- Hypercalcemia
- Abdominal pain
- Gout
- Painful bones
- Nephrolithiasis
What is the US appearance for hyperparathyroidism? (3)
- Homogeneous hypo echoic nodule
- Located posterior and medial to the thyroid gland
- Teardrop or oblong in shape
What are 2 differential diagnosis of hyperparathyroidism?
- Complex cyst
2. Thyroid nodule
What are the causes of parathyroid hyperplasia? (2)
- Excessive multiplication of normal parathyroid cells
2. Hyperparathyroidism
What are the clinical findings of parathyroid hyperplasia? (6)
- Asymptomatic
- Elevated parathormone
- Abdominal pain
- Gout
- Nephrolithiasis
- Painful bones
What is the US appearance of parathyroid hyperplasia? (2)
- Multiple isoechoic or hyper echoic homogeneous nodules
2. Smooth wall margins
What are 2 differential diagnosis of parathyroid hyperplasia?
- Parathyroid adenoma
2. Goiter
Which condition is most commonly associated with hypothyroidism?
Hashimoto disease
A patient presents with a superficial neck mass located near the angle of the jaw. On US, the mass demonstrates a few swirling echoes within an anechoic mass. On the basis of this clinical history, the US findings are most suspicious for a:
Brachial cleft cyst