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Case 168688

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Disease / syndrome / tumor / condition

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Everywhere

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1 Files Info

Canaray 168688

1. Central giant cell granuloma in posterior right mandible

A large multilocular radiolucent lesion containing granular septa has caused a significant expansion of the posterior right mandibular body. This expansile entity has displaced the developing molars anteriorly, and has displaced the inferior alveolar nerve canal inferiorly. The entity was partially captured in this scan. Multiple dehiscences are present in the buccal and lingual cortical plates adjacent to the lesion. This entity represents a central giant cell granuloma.

2. Large central giant cell granuloma in posterior left mandible

A large multilocular entity that is predominantly radiolucent, but contains granular septa, is present in the posterior left mandibular body. This expansile lesion has caused multiple dehiscences of the buccal and lingual cortical plates, has displaced the developing molars anteriorly, and has displaced the inferior alveolar nerve canal inferiorly. This radiographic appearance is consistent with a central giant cell granuloma.

3. Central giant cell granuloma in posterior right maxilla

A multilocular, predominantly radiolucent expansile benign entity that contains granular septa is present in the posterior right maxilla in the tuberosity. This entity has displaced the developing molars anteriorly, and has displaced the sinus floor superiorly. Posterolateral expansion of the tuberosity has occurred. This radiographic appearance is consistent with a central giant cell granuloma in the posterior right maxilla

4. Early central giant cell granuloma in posterior left maxilla

An expansile benign lesion with a mixed internal structure is present in the left maxillary tuberosity. This entity has caused a posterolateral expansion of the tuberosity. A localized region of the high bone density is present at the medial aspect of the lesion. The molars in the region have been displaced anteromedially. This radiographic appearance is consistent with the presence of a central giant cell granuloma in the posterior left maxilla.

1. Dense bone island in posterior second quadrant

A dense bone island is present within the alveolar process in the apical portion of the posterior second quadrant, adjacent to the sinus floor. This dense bone island has not had any effects on its surrounding structures and is a non-significant incidental finding.

Cherubism

The presence of central giant cell granulomas in the posterior maxilla and mandible bilaterally, as well as the anterior displacement of the molars in all quadrants, is characteristic of cherubism.

5. Maxillary sinus mucositis

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

6. Right palatine tonsillolith

A tonsillolith is present in the right palatine tonsil. This is an incidental finding with no significance because tonsilloliths exfoliate spontaneously.