Which imaging studies are indicated in the workup of hypercalcemia?

Updated: Apr 11, 2018
  • Author: Thomas E Green, DO, MPH, MMM, CPE, FACEP, FACOEP; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

No imaging studies definitively diagnose hypercalcemia. However, the chest radiograph may reveal malignancy or granulomatous disease. [5]

Consider hypercalcemia in patients with multiple nonspecific complaints and an associated lung mass.

If laboratory evidence of primary hyperparathyroidism is present, CT scan of the head, MRI, ultrasound, or nuclear parathyroid scans may be helpful. Preoperative diagnostic imaging is essential in patients with previous neck surgery.


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