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Case 169314

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Referral category

Disease / syndrome / tumor / condition

Region of interest

Lower Jaw

Referral reason

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1 Files Info

Canaray 169314

1. Ameloblastoma distobuccal to tooth 32

A small multilocular lesion composed of at least two distinct populations is present in the left mandibular alveolar process in the region distobuccal to tooth 32. This entity is distinct from the extraction socket at site 33, which suggests that it has arisen independently of any pathology associated with socket 33. A healing bone pattern is present within socket 33, which further supports the diagnosis of the presence of a lesion of non-endodontic origin. Based on the reported family history, the most likely diagnosis is an early ameloblastoma.

2. Healing extraction socket at site 47

A healing extraction socket is present in the alveolar process at site 47. This healing socket primarily contains low-density granular reparative bone, and a central fissure that is comprised of soft tissue. No active pathology is present in this region.

3. Healing extraction socket at site 33

Granular bone is present within the extraction socket at site 33, which indicates healing. The density of this granular bone is lower than that of the surrounding trabecular bone. Note the absence of any reparative bone formation in the small multilocular lesion that is positioned mesially to the healing socket.

Periodontal bone loss

The remaining teeth in the mandibular arch exhibit moderate horizontal periodontal bone loss.

4. Dense bone island in left mandible

A large dense bone island is present within the alveolar process of the left mandible. This dense bone island has not had any effects on its surrounding structures.

5. Dense bone island in posterior left mandible

A small dense bone island is present within the alveolar process in the posterior left mandible. This dense bone island has not had any effects on its surrounding structures and is a non-significant incidental finding.

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 ligament

The right stylohyoid ligament is partially calcified. This is an incidental finding with no clinical significance.

8. Possible cervical degenerative joint disease

The cervical vertebrae were partially captured in this scan, and osteophyte appears to be present in the region the inferior to the third cervical vertebra. The second and third cervical vertebra appears to be fused. This is suggestive of possible moderate degenerative joint disease in the cervical vertebrae.