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Region of interest
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1. Rarefying osteitis on tooth 15
There is rarefying osteitis located periapical to the endodontically-treated tooth 15. The overlying sinus floor is elevated and thinned adjacent to this region. The existing obturation in this tooth is centrally positioned, but ends short of the radiographic apex. The remaining periradicular bone appears normal, and there are no signs of root perforation or fracture. These findings suggest the presence of persistent endodontic pathology.
2. Widened PDL space on tooth 22
There is a slight widening of the periodontal ligament space around the root apex of the endodontically-treated tooth 22. The existing obturation in this tooth appears centrally positioned, but ends slightly short of the radiographic apex. The remaining periradicular bone appears normal. There are no radiographic signs of root fracture or root perforation in this tooth. Although these findings likely suggest a normal post-treatment appearance, continued radiographic monitoring is recommended to substantiate this interpretation.
3. Healing socket preservaton at site 26
A socket preservation is present at site 26. The granular bone within this socket appears uniformly distributed, and its density is slightly greater than that of the adjacent trabecular bone.
4. Vertical root fracture in tooth 35
A radiolucent plane is evident in the root of tooth 35, which extends from its buccal surface to its lingual surface. Step defects are evident adjacent to this radiolucent plane. Periradicular bone loss is observed along the buccal, distal, and lingual aspects of this tooth, which extends from the alveolar crest to its periapical region. These findings suggest the presence of a displaced vertical root fracture.
Retained root of tooth 43
The crown of tooth 43 appears to be partially absent, and its root is retained within the alveolar process. There is no radiographic evidence of periapical or periradicular pathology involving this retained root.
Retained root of tooth 44
The crown of tooth 44 appears partially absent. The root of this tooth is retained within the alveolar process. There are no signs of periapical or periradicular pathology involving this retained root.
5. Mild mucositis of both maxillary sinuses
Mild mucosal thickening is present in both maxillary sinuses. This likely represents the presence of mucositis, which is a common incidental finding with no clinical significance.
6. Calcification within paraspinal soft tissues
A calcification is present within the paraspinal soft tissues anterior to the body of C2. This most likely represents a localized calcification of the anterior longitudinal ligament, which is a non-significant incidental finding.
7. Cervical pneumatocyst in C4
A gas filled cavity is present in the body of the fourth cervical vertebra. This represents a pneumatocyst, which is suggestive of the presence of cervical degenerative joint disease.
7. Calcified stylohyoid ligaments
The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.