Papillary thyroid carcinoma (PTC) is the commonest endocrine thyroid malignancy. The concurrent incidence of intrathyroidal parathyroid adenoma and papillary thyroid carcinoma is an infrequent finding. Surgical treatment via excision is the only definitive management approach. Here in we present a case report of intrathyroid parathyroid adenoma with incidental papillary micro carcinoma in a 36 year-old-female who initially presented with osteoporosis.