The PTEN c.956del (p.Thr319IlefsTer2; p.T319Ifs*2) variant has been reported in ClinVar as Pathogenic by one clinical laboratory.1 This variant is absent from gnomAD v2.1 and gnomAD v4.1, supporting rarity in population databases and meeting the PTEN PM2_Supporting threshold of less than 0.00001 (0.001%).2 This frameshift is predicted to truncate PTEN at codon 320 in exon 8, and the PTEN-specific PVS1 decision tree assigns PVS1 to truncating variants at or 5' to p.D375 (c.1121) in transcript NM_000314.8.3 SpliceAI predicts no significant splice effect for this variant (max delta score 0.02), and REVEL and BayesDel are not applicable because this is not a single-nucleotide missense variant.4