Figure 2: A 49-year-old male presented with hypercalcemia and mildly elevated PTH. USG of the neck did not reveal any parathyroid adenoma. (a) Early images of Tc99m sestamibi scan show homogenous tracer uptake in the both lobes of the thyroid gland. A focus of intense area of tracer uptake is noted in the cervical region superior to the left lobe of the thyroid gland. (b) Delayed images show retention of the tracer in the focus with wash out from thyroid gland. (c) SPECT/CT images show focal tracer uptake in the prevertebral region opposite to the body of C-6 vertebra