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Figure 3a. Parathyroid imaging in MEN 1: scintigraphy. (a) Parathyroid adenoma. Early (top) and delayed (bottom) 99mTc-MIBI scintigrams show a dominant right superior parathyroid adenoma. All four glands were surgically removed, and the three unaffected glands proved to be hyperplastic. (b) Parathyroid adenomas in a different patient. Early (top) and delayed (bottom) 99mTc-MIBI scintigrams show bilateral parathyroid adenomas.