Reason: 64M with osteoporosis secondary to tertiary parathyroidism, evaluate for parathyroid hyperplasia, evaluate thyroid gland. History: osteoporosis. There is an 8 mm minimally enhancing nodule (7/29) posterior to the left inferior thyroid gland which may represent a parathyroid adenoma or enlarged lymph node. The thyroid gland is otherwise normal appearing. No additional mass or lymphadenopathy is seen throughout the neck. The remaining major salivary glands are unremarkable. The major cervical vessels are patent. The airways are patent. The imaged intracranial structures show prominent ventricles and sulci, suggesting mild atrophy. Periventricular and subcortical T2 hyperintensities may reflect mild small vessel ischemic disease but are partially visualized. The imaged portions of the lungs are clear. Mild degenerative changes of the visualized spine. Mild mucosal thickening of the right maxillary sinus.
Nodule posterior to the left inferior thyroid gland may represent a parathyroid adenoma or lymph node.