PTH and panhypopituitarism: Serum prolactin level on admission was significantly elevated (2,484 ng/mL, 2.6-13.2), confirming a diagnosis of macroprolactinoma. Evaluation of anterior pituitary function indicated panhypopituitarism. Hypercalcemia, low serum phosphorus, and unequivocally elevated parathyroid hormone (PTH) level indicated primary hyperparathyroidism (PHPT).