Incidental Detection of Parathyroid Adenoma on Somatostatin Receptor PET/CT and Incremental Role？of 18F-Fluorocholine PET/CT in MEN1 Syndrome

A 49-year-old female shows 177Lu-PRRT post therapy scan (acquired 24 h after the therapy) showing tracer uptake in the liver and peripancreatic lesion (a) and 68Ga-DOTANOC PET/CT MIP images (b, c) showing SSTR-expressing lesions in liver segment II (thin black arrow) and paraduodenal lymph node (thick black arrow); also noted diffuse uptake in thyroid gland and focal uptake posterior to lower pole of the right lobe of thyroid corresponding to parathyroid adenoma (small thin arrow