This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of Parathyroid Gland, Subject name: Medicine
What is shown in the X-ray skull? 
Select and explain. 
A. Pepper pot skull, B. Aifacts, C. Silver -beaten appearance, D. Mug shot with pellets
A: Pepper pot skull
Answer: A: Pepper pot skull 
Explanation: The image shows a moth eaten appearance of skull called as pepper pot skull. This is a characteristic appearance of Hyperparathyroidism.