case_images: PMC11217570_01
case_images: SPECT scan of parathyroid showing a focus of activity at the left thoracic inlet.
case_images: CRIPS2024-8126125.001.jpg
case_images: PMC11217570_01_CRIPS2024-8126125.001.jpg
case_images: fig1
case_images: Following consultation with the endocrinology team on December 9, cinacalcet was initiated at 30 mg each evening with dinner, and a single-photon emission computed tomography (SPECT) scan of his parathyroid was performed which showed a focus of activity at the left thoracic inlet, confirming PHPT (Figure 1).