Fluid-fluid levels on CT and MR imaging are a typical feature of aneurysmal
bone cysts but have also been reported in many other osseous lesions conta
ining haemorrhage. We report fluid-fluid levels in four brown tumour in thr
ee patients with primary hyperparathyroidism in which the initial radiologi
cal diagnosis was thought to be a bone tumour. To the authors' knowledge, t
his is the first time that association has been reported in the internation
al literature.