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Disease / syndrome / tumor / condition
Region of interest
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Developing tooth 38
Tooth 38 is mesioangularly oriented and root development has not initiated at this time. The follicle around the crown of tooth 38 appears normal, and the cortex around the developing dental papilla is intact. No pathology is arising from the developing tooth 38.
1. Simple bone cyst in left mandibular ramus
A well-defined, delicately corticated radiolucency is present within the left mandibular ramus, which extends from the developing tooth 38 to the mandibular notch and from the anterior border of the ramus to the mandibular foramen. The contiguous medial and lateral cortices of the ramus are mildly expanded and thinned due to endosteal scalloping, but no signs of cortical breach are noted. The course of the left mandibular nerve canal is unaffected. The follicle around the crown of tooth 38 appears normal, and the cortex adjacent to the developing dental papilla remains intact adjacent to this large radiolucency.
These radiographic findings are consistent with a simple bone cyst in the left mandibular ramus. Radiographic follow up to monitor this region for signs of spontaneous osseous healing is recommended.
Orthogonal measurements of simple bone cyst
These orthogonal cross-sectional images demonstrate the approximate dimensions of the simple bone cyst in the left mandibular ramus.
Developing tooth 28
Tooth 28 appears to be developing normally. No significant root formation has commenced, and the follicle surrounding the crown of this tooth appears normal radiographically.
2. Left palatine tonsilloliths
Tonsilloliths are present in the left palatine tonsil. This is an incidental finding with no clinical significance.