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Case 118686

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Referral category

Disease / syndrome / tumor / condition

Region of interest

47/48

Referral reason

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1 Files Info

Canaray 118686

1. Right submandibular sialolith

A large sialolith is present in the right submandibular gland. The radiographic features that support this diagnosis are the radiopaque internal structure comprised of concentric laminated rings, and the location of the entity in the right submandibular gland. In the presence of signs or symptoms of glandular obstruction, removal may be required.

Orthogonal measurements of sialolith

These orthogonal cross-sectional images demonstrate the approximate dimensions of the sialolith in the right submandibular gland.

Axial views of right submandibular region

These axial cross-sectional images demonstrate the medial position of the sialolith relative to the inferior aspect of the right posterior mandibular body.

Sagittal views of right submandibular region

These sagittal cross-sectional images demonstrate the apical and distal position of the sialolith relative to tooth 48.

Coronal views of right submandibular region

These coronal cross-sectional images demonstrate approximately 3.4mm between the right submandibular sialolith and the lingual surface of the inferior border of the mandible.

2. Rarefying osteitis on tooth 17MB+DB

A common area of rarefying osteitis is centered at the mesiobuccal and distobuccal root apices of the endodontically-treated tooth 17. The existing obturation in the mesiobuccal root is buccally positioned, which suggests an unfilled MB2 canal may be the source of this persistent periapical pathology. The palatal root exhibits a normal post-treatment appearance, despite the short obturation.

3. Maxillary sinus mucositis

Mild mucositis is present in the right maxillary sinus. This is a non-significant incidental finding.

4. Right palatine tonsilloliths

Tonsilloliths are present in the right palatine tonsil. This is an incidental finding with no clinical significance because tonsilloliths exfoliate spontaneously.