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Case 106293

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Referral category

Disease / syndrome / tumor / condition

Region of interest

Second Quadrant

Referral reason

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Canaray 106293

1. Osteoma in left maxillary tuberosity

There is a pedunculated, bony enlargement present at the buccal aspect of the alveolar process adjacent to the left maxillary tuberosity. This bony enlargement is comprised primarily of trabecular bone, with a thickly corticated periphery. The trabecular bone within the entity is continuous with the trabecular bone of the tuberosity. This radiographic appearance is suggestive of an osteoma. Removal is likely indicated, as osteomas have innate unlimited growth potential.

2. Rarefying osteitis at tooth 27

Tooth 27 exhibits periapical rarefying osteitis at all of its root apices. This suggests that the tooth has been devitalized, but this is likely unrelated to the osteoma adjacent to the tooth. Endodontic treatment or extraction is indicated. Due to the presence of motion artifacts, it is not possible to determine whether any fractures are present in the tooth or not.

Axial views of left maxillary tuberosity

These axial cross-sectional images demonstrate the continuity of the trabecular bone of the left maxillary tuberosity and the osteoma that is present at the buccal aspect of the tuberosity. The thickly corticated periphery of the osteoma is evident in these images, as is the pedunculated shape of the entity.

Buccolingual views of tooth 27

These buccolingual cross-sectional images demonstrate the thickly corticated periphery of the osteoma, as well as the continuity of the trabecular bone of the lesion with the trabecular bone in the maxillary tuberosity. The rarefying osteitis in the periapical region of tooth 27 is evident in these images. It is not possible to definitively determine whether a crack is present in the distobuccal root or not due to the presence of motion artifacts.

Mesiodistal views of posterior second quadrant

These mesiodistal cross-sectional images demonstrate the well-defined periphery of the osteoma, as well as the absence of any significant effect on the region upon the underlying bone, sinus, or teeth.

3. Mild mucositis of left maxillary sinus

The left maxillary sinus exhibits mild mucositis, which represents an incidental finding with no clinical significance.