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Background: The diagnosis of hyperparathyroidism is usually first suspected because of the finding of an elevated serum calcium concentration. The clinical presentation may be subtle and hypercalcemia may be mild. Single adenomas account for most cases of primary hyperparathyroidism. One of the atypical presentations includes normocalcemic primary hyperparathyroidism. Thyroid nodules come to clinical attention when noted by the patient, or as an incidental finding during the routine physical examination, or during a para clinical procedure. Ultrasound is also recommended for all patients to confirm the presence of nodularity. Fine-needle aspiration (FNA) biopsy is the most accurate method for evaluating thyroid nodules. Thyroid scintigraphy is used to determine the functional status of a nodule. Case report: In this study, we report a case of huge parathyroid adenoma and thyroid adenoma in the same time in a patient with nonspecific generalized body pain. Primary clinical and para clinical findings did not have any correlation with each other and could not guide us to the correct diagnosis.