Incidental Finding of a Hyperfunctioning Parathyroid Gland- Importance of Routine Viewing of the Raw Data in Myocardial Perfusion Imaging

The raw projection image of a single-photon emission computed tomography (SPECT) myocardial perfusion study (MPS) identifies quality control problems like motion and a host of other artifacts. Significant and non-significant incidental findings can also be visualized on these raw projection images. Therefore systematic and routine review of these images is required in clinical practice. We present a 68 year old female patient referred to our facility for a myocardial perfusion scan as part of her surgical work up for a right hip replacement. The raw projection images of her scan showed abnormal uptake of tracer in her neck region.