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Figure 1. X-ray showing multiple osteolytic lesions noted in (A) the left clavicle and head of the humerus (red arrow) and (B) left pelvis, proximal and distal femur with left subtrochanteric fracture of the femur (yellow arrow)
Figure 2. (A) Axial CECT scan and (B) Axial MRI of the pelvis showing multiple osteolytic lesions involving bilateral femurs and bony pelvis.
Figure 3. Tc99m sestamibi showing (A) increased uptake indicating right inferior parathyroid adenoma (B) multiple foci lesions in maxilla, mandible, bilateral humeral head, pelvis, proximal and distal femoral shaft, and proximal tibial shaft.
Figure 4. Histopathology depicts a thick capsulated mass composed of polygonal cells arranged in a solid sheath with a mild to moderate degree of pleomorphism in nuclei without lymph node or vascular invasion indicating parathyroid adenoma.