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Region of interest
26, 46, 16
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Pneumatized site 16
Pneumatization of the alveolar process at site 16 is present, which limits the bone volume available for implant placement.
Clear right maxillary sinus
The right maxillary sinus is clear. There are no impediments to a potential right maxillary sinus lift.
Pneumatized site 26
The edentulous site 26 is pneumatized by the left maxillary sinus, which limits the bone height available for regional implant placement. The site appears normal otherwise.
Clear left maxillary sinus
The left maxillary sinus is clear. There are no potential impediments to a left maxillary sinus lift.
1. Furcal rarefying osteitis arising from lateral canal
A well-defined focus of furcal bone loss is present at the midroot level of tooth 36. The overlying buccal and lingual cortical plates remain intact. A clearly visualized lateral canal originating within the mesial root of tooth 36 terminates within the furcation, which suggests this bone loss is endodontic in origin. Mild apical periodontal ligament space widening is noted at the distal root apex, but the mesial root appears normal at this time. This appearance suggests that tooth 36 is at least partially devitalized and requires endodontic treatment or extraction.
2. Dense bone island apical to site 46
A small dense bone island is present apical to site 46. This is a non-significant incidental finding that will not impede regional implant placement. Site 46 appears normal otherwise.
3. Intracranial calcification of internal carotid arteries
Extensive calcifications are visible lining the walls of the cavernous segments of the right and left internal carotid arteries. These findings may represent signs of atherosclerosis. The extent of these calcifications suggests that medical referral may be indicated.
4. Sphenoid sinus mucositis
Mild mucositis is present in the right loculation of the sphenoid sinus. This is a non-significant incidental finding.
5. Mild cervical degenerative joint disease
Osteophytes are present in the articular regions of the atlas and dens of the cervical vertebrae. This is a common incidental finding with no clinical significance that is suggestive of mild cervical degenerative joint disease.
6. Palatine tonsilloliths
Tonsilloliths are present in the palatine tonsils. This is an incidental finding with no clinical significance due to the spontaneous exfoliation of tonsilloliths.
7. Calcified stylohyoid ligaments
The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.
8. Calcified cornua of thyroid cartilage
Both cornua of the thyroid cartilage are partially calcified. This is an incidental finding with no significance.