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Case 161711

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Referral category

Wisdom Teeth

Region of interest

Lesion in 28 area

Referral reason

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1 Files Info

Canaray 161711

1. Phleboliths in left buccal space

Multiple well-defined, circular calcifications, several of which have coalesced into a single unit adjacent to the buccal aspect of tooth 28, are located within the left buccal space. These calcifications vary in size, and exhibit a lamellar pattern of calcification, with concentric layers forming a bullseye appearance. There are no effects on the surrounding osseous structures. This appearance is consistent with the presence of phleboliths (intravascular thrombi) within the left buccal space. The possibility of an associated soft tissue hemangioma in this region should be considered. Clinical examination and further medical imaging with contrast enhancement may aid in substantiating this interpretation.

Axial views of left posterior maxilla

These axial cross-sectional images demonstrate the presence of multiple, variably sized calcifications distributed throughout the left buccal space. Note that the left posterior maxillary alveolar process appears normal, and no intraosseous pathology is present.

Coronal views of left posterior maxilla

These coronal cross-sectional images demonstrate the buccal position of the phleboliths relative to tooth 28, as well as the intact buccal cortex of the maxilla.

Sagittal views of left posterior maxilla

These sagittal cross-sectional images demonstrate the presence of scattered radiopacities with a central radiolucent nidus, several of which have coalesced into a single multilocular-appearing unit. The possibility that these phleboliths are part of a soft tissue hemangioma within the left buccal space should be considered.

2. Maxillary sinus mucositis

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