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Nuclear images of the patient. (A) 99mTechnetium hydroxymethane diphosphonate bone scan showing generalized, increased radiotracer uptake in the entire skeleton, especially with hot uptake in the skull and facial bones, which was suggestive of a metabolic bone disease caused by hyperparathyroidism. (B) 99mTechnetium sestamibi scan showing persistent, focal radiotracer uptake in the left lobe of the thyroid on a delayed 3-hour image, which was suggestive of a parathyroid adenoma.
