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SPECT-CT and Tc-99m sestamibi scintigraphy of parathyroid glands

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Transaxial (A), sagittal (B), and coronal (C) perspectives, showing (arrows) focal area of increased radiotracer concentration in the right side of the neck at the level of C5-C7 vertebra suggestive of parathyroid adenoma or carcinoma. Delayed static image of Tc-99m sestamibi parathyroid scintigraphy (D), showing (arrow) persistent focal activity in the abovementioned area. Legend: SPECT-CT: single-photon emission computed tomography-computed tomography. (Source: Huq MR, Hossain A, Hannan MA, Anwar MB, Khan AM. Proximal myopathy with hypercalcemic crisis and papillary thyroid carcinoma in a 38-year-old female. Cureus 2021;13[12]:e20700. Creative Commons Attribution [CC-BY 4.0] license, creativecommons.org/licenses/by/4.0.)