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Case 96792

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Referral category

Disease / syndrome / tumor / condition

Region of interest

35-37

Referral reason

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Canaray 96792

1. Multilocular infected radiolucent defect with the sclerotic periphery at site 38

An unusually shaped multilocular lesion with a thickly corticated and sclerotic periphery is present at site 38. This entity drains through the alveolar crest at site 38. Based on high amount of sclerosis in this region, this is most likely the source of persistent pathology in the posterior third quadrant. Due to the almost completely encapsulated nature of the posterior superior aspect of the lesion, surgical intervention would likely be necessary in order to facilitate healing in this region.

Mesiodistal views of posterior third quadrant

These mesiodistal cross-sectional images demonstrate the unusual shape of the radiolucent defect at site 38, as well as the extension of this defect into the anterior ramus. The extensive sclerosis that surrounds the defect is evident in these images.

Buccolingual views of site 38

These buccolingual cross-sectional images demonstrate the continuity of the anterior superior aspect of the defect with the alveolar crest, as well as the complete encapsulation of the posterior superior aspect of the lesion by bone.

Axial views of posterior third quadrant

These axial cross-sectional images demonstrate the thickly corticated periphery of the irregularly shaped radiolucent defect at site 38. This lesion is likely secondarily infected.

Normal tooth 35

Tooth 35 appears normal radiographically. The periodontal ligament space is of uniform width around the tooth and the lamina dura is intact. No signs of endodontic or periradicular pathology are present.

Normal tooth 36

Tooth 36 appears normal radiographically. The periodontal ligament space is of uniform width and the lamina dura is intact. No signs of endodontic or periradicular pathology are present.

Normal tooth 37

The endodontic treatment of tooth 37 has been successful. The periodontal ligament space is of uniform width around the tooth and the lamina dura is intact. The lesion originating at site 38 has not affected the lamina dura on the distal surface of tooth 37. Tooth 37 is not the source of any pathology.

Normal tooth 17

The endodontic treatment of tooth 17 has been successful. This tooth is not the source of any pathology.

2. Mild mucositis of left maxillary sinus

The left maxillary sinus exhibits mild mucositis, which represents an incidental finding with no clinical significance.

3. Right palatine tonsillolith

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

4. Calcified stylohyoid ligaments

The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.

5. Moderate cervical degenerative joint disease

Subchondral cysts, and subchondral sclerosis are present in the bodies of the cervical vertebrae. This is an incidental finding that is suggestive of moderate cervical degenerative joint disease.

6. Sclerotic apperarance of bone surrounding lesion in left mandibular ramus

The bone surrounding the lesion in the left mandibular ramus is sclerotic. The lesion is confined to the anterior inferior border of the ramus. The posterior ramus appears normal.