You are caring for a 60 y/o patient with chronic kidney dise…

You are caring for a 60 y/o patient with chronic kidney disease who is in renal failure. The patient came to the hospital with flank pain, moderate left arm pain, nausea and vomiting, and weakness. She was concerned she was having a heart attack. Labs indicate cardiac enzymes CK and Troponin is normal, however her calcium level is 22mg/dl (normal is 8-10 mg/dl). An x-ray of arm also revealed a fracture in the left arm.  This patient is most likely suffering from which of the following pathologies?