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a) Sagittal oblique CT and b) axial CT image of the skull base c) axial CT upper thorax. 34-yr-old female with undiagnosed HPT-JT who underwent a CT to assess a left mandibular ramus lesion (a) subsequently proven to be an ossifying fibroma. She was incidentally noted to have generalised bony sclerosis (b) suggestive of hyperparathyroid bone disease and further imaging (c) revealed a retrosternal parathyroid adenoma (arrowhead) anterior to the left brachiocephalic vein
