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A 99mTc-sestamibi focal uptake inferior to the thyroid seen in the anterior image acquired with a pinhole collimator. 99mTc-sestamibi (a), 123I (b), and subtraction image (c). All physicians interpreted this uptake as an abnormal parathyroid gland. The same patient seen in 123I/99mTc-sestamibi subtraction SPECT/CT images (transversal (d), sagittal (e), and coronal (f)). Focal uptake was due to bone uptake in the cervical vertebra.
