Pediatric Pseudohypoparathyroidism Etiology: Hypoparathyroidism due to end organ resistance to parathyroid hormone Imaging Radiograph:— Short fourth and fifth metacarpal bones— Soft tissue calcification DDX: Normocalcemic pseudohypoparathyroidism (pseudopseudohypoparathyroidism) Complications: Treatment: Clinical: Radiology Cases of Pseudohypoparathyroidism AP radiograph of the hands shows shortening of the metacarpals and an extremely short right fourth metacarpal. AP radiograph of the feet show a shortened right fourth metatarsal bone. There are also some faint soft tissue calcifications present.