Files (0)

Only logged-in users can see the full file list

Do you have an access code? Enter it below:

Referral details

Case 172240

Do you have an access code? Enter it below

Referral category

Disease / syndrome / tumor / condition

Region of interest

Lower left

Referral reason

[Only visible to logged-in users]

0 Files Info

Canaray 172240

1. Central giant cell granuloma in left mandible

A well-defined predominantly unilocular radiolucent entity with a thinly corticated periphery is present in the left mandible. One granular septum is visible at the distobuccal superior aspect of the entity in the region adjacent to the buccal cortical plate. The radiolucent entity extends from the mandibular midline to the periapical region of the mesial root of tooth 36. The lesion has extended between the roots of teeth 33 and 34 and has splayed the roots of the adjacent teeth. The buccal cortical plate has been expanded and thinned in the region adjacent to site 34. A characteristic "flow-around" radiographic sign of the entity around the distal aspect of the buccal cortex is visible, and is highly suggestive of the diagnosis of a central giant-cell granuloma. The roots of the teeth in the region do not exhibit significant resorption. The inferior alveolar nerve canal has been slightly buccally and inferiorly displaced by the lesion.

Orthogonal measurements of central giant cell granuloma

These orthogonal cross-sectional images demonstrate the dimensions of the central giant cell granuloma from various perspectives.

2. Lingual mandibular tori

Lingual tori composed of cortical bone are present along the alveolar process of the mandible adjacent to the canine-premolar regions. This is a non-significant incidental finding.

3. Mild right maxillary sinus mucositis

Mild mucositis is present on the floor of the right maxillary sinus. This is a non-significant incidental finding.

4. Small soft tissue calcification in chin

A small soft tissue calcification is present in the chin in the region anterior to tooth 41. This is a non-significant incidental finding.