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Case 111156

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Referral category

Dental implants

Region of interest

21

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Canaray 111156

1. Right maxillary sinus mucocele: ENT referral recommended

The right maxillary sinus is completely opacified. The medial wall of the sinus has expanded into the middle meatus of the nasal cavity. The walls of the right maxillary sinus are thickened and sclerotic. An oroantral communication may be present at site 17. This radiographic appearance is suggestive of the presence of a right maxillary sinus mucocele. Immediate evaluation of the entity by an ENT specialist is recommended.

Axial views of right maxillary sinus

These axial cross-sectional images demonstrate the thickened and sclerotic walls of the right maxillary sinus, the displacement of the medial wall of the sinus into the middle meatus of the nasal cavity, and the complete opacification of the sinus, which is suggestive of the presence of a sinus mucocele.

Sagittal views of right maxillary sinus

These sagittal cross-sectional images demonstrate the defect that is present at the alveolar crest at site 17, as well as the complete opacification of the right maxillary sinus.

Coronal views of right maxillary sinus

These coronal cross-sectional images demonstrate the displacement of the medial wall of the right maxillary sinus into the middle meatus of the nasal cavity. The thickened sclerotic lateral wall of the sinus is also evident in these images.

2. Degenerative joint disease in the left TMJ

An osteophyte is present on the anterior surface of the left condylar head. Sclerosis and flattening is present on the articulating surfaces of the joint. This appearance is suggestive of the presence of degenerative joint disease in the left temporomandibular joint.

3. Degenerative joint disease in the right TMJ

An osteophyte is present on the anterior surface of the right condylar head. The articulating surfaces of the joint exhibit sclerosis and flattening. The joint space is narrowed. This appearance is suggestive of the presence of degenerative joint disease in the right temporomandibular joint.

Periodontal bone loss in anterior second quadrant

Mild horizontal periodontal bone loss is present around the teeth in the anterior second quadrant.