Presentation
Background of ESRF.
Patient Data
Age: 45 years
Gender: Female
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Frontal

There are bilateral distal clavicular erosions and a rugger-jersey appearance of the spine.
Oblique

Bilateral subperiosteal resorption of the phalanges, with a brown tumor of the right proximal phalanx. Extensive vascular calcification.
Case Discussion
Biochemistry showed elevated PTH levels.