A young female with history of renal calculi complains of bone pain and abdominal cramps. On investigation, multiple fractures were discovered and serum calcium and PTH was raised. Which of the following will be the best investigation to arrive at a definitive diagnosis?
Hyperparathyroidism Patient with PHPT formerly presents with classic pentad of symptoms Kidney stones Psychic moans Painful bones Fatigue oveones Abdominal groans -Biochemical findings - increase Serum Ca++ ,Increase PTH -MC cause is single adenoma Best investigation to localize parathyroid Adenomas - Sestamibi scan
CECT neck
Sestamibi scan
Radioiodine scan
Ultrasound neck
Parathyroid and adrenal glands