case_images: PMC8203083_01
case_images: Chest X-ray (A) and computed tomography scan (B) revealing hilar fullness.
case_images: AJTCCM-26-3-043-fig1.jpg
case_images: PMC8203083_01_AJTCCM-26-3-043-fig1.jpg
case_images: F1
case_images:  Her chest X-ray revealed hilar fullness with the left being more prominent than the right (Fig. 1).  Laboratory investigations (normal ranges) showed that calcium was 2.71 (2.20 - 2.55) mmol/L, phosphate was 0.68 (0.78 - 1.42) mmol/L, parathyroid hormone (PTH) was 36.3 (1.60 - 6.0) pmol/L and alkaline phosphatase was 127 (42 - 98) U/L.