For years, our patient suffered from severe osteoporosis, general weakness and fatigue, and a high level of calcium in the blood.. Her symptoms were indicators of the presence of hypersecretion of parathyroid hormone..

But the SPECT CT and ultrasound images were unable to find the gland to support the diagnosis, so it was photographed with a positron emission tomography machine using 18 F Choline PET in the hospital's nuclear medicine department, which is characterized by its extreme accuracy and is available in very limited hospitals in the Kingdom. Indeed, the gland was found in a rare place behind the trachea next to the esophagus.

The patient is currently preparing for gland removal surgery, which will permanently rid her of her symptoms