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Disease / syndrome / tumor / condition
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1. Ameloblastoma in right maxillary tuberosity has increased in size since prior scan: PLEASE REFER TO ORAL SURGEON
The multilocular benign aggressive lesion that was identified in the prior radiographic report (Canaray case 143691, dated 15 Feb 2017) has increased in size. The notable changes in the 26 month interval between scans are the expansion of the lesion buccally through the buccal cortical plate, the dehiscence in the floor of the right maxillary sinus through with the lesion has perforated and the anterior extension of the lesion into the furcal regions of teeth 16 and 17. The coarse septae, growth pattern and multiolcular appearance are consistent with an ameloblastoma. TREATMENT OF THIS BENIGN AGGRESSIVE TUMOUR IS INDICATED. Please refer the patient to an oral surgeon for treatment.
2. Soft tissue mass in left maxillary sinus
A large non-corticated soft tissue mass is visible within the right maxilla sinus. This mass may represent a combination of the ameloblastoma originating in the right maxillary tuberosity, and an antral pseudocyst. The delineation between normal sinus tissue and the ameloblastoma is not radiographically apparent.
3. Slightly widened PDL space of tooth 26MB
The periapical periodontal ligament space of the mesiobuccal root of tooth 26 is slightly widened. The existing obturation in the mesiobuccal root is relatively centrally positioned, which is not indicative of the presence of any additional canals. Therefore, the widened periodontal ligament space may represent a Healing posttreatment appearance or a persistent low-grade endodontic lesion. The bone surrounding the remaining root surfaces of the tooth appears normal