Figure 3: A 30-year-old female, case of pancreatitis, on workup was found to have raised serum calcium and PTH levels. USG neck was normal. (a) Early images of Tc99m sestamibi scan showed intense tracer uptake in the paratracheal region inferior to the thyroid gland along with uptake in both lobes of the thyroid gland. (b) Delayed images at 1 hour show focal retention of tracer in the paratracheal region with wash out from thyroid gland. (c) SPECT/CT imaging localizes the tracer uptake to the right paratracheal region inferior to thyroid gland superior to sterno-clavicular joint