Files (0)

Only logged-in users can see the full file list

Do you have an access code? Enter it below:

Referral details

Case 99761

Do you have an access code? Enter it below

Referral category

Disease / syndrome / tumor / condition

Region of interest

right mandible

Referral reason

[Only visible to logged-in users]

0 Files Info

Canaray 99761

1. Normal right ramus

The right ramus is intact and exhibits a normal anatomic contour. There is no evidence of the radiolucency found on the panoramic image in the mandibular bone, inferior to the condylar neck.

Axial views of right ramus

These axial cross-sectional images demonstrate a normal appearance and morphology of the cortical and trabecular bone within the superior aspect of the right ramus.

Sagittal views of the right ramus

These sagittal cross-sectional sagittal views demonstrate the normal appearance of the right ramus. There is no evidence of the radiolucency inferior to the condylar neck.

Coronal views of right TMJ

These coronal cross-sectional images demonstrate a normal contour of the right ramus.

2. Soft tissue asymmetry at the level of the radiolucency found on the panoramic image

The soft tissues on the lateral walls of the oropharynx appear to be asymmetric with the presence of a soft tissue enlargement on the left side. A depression is present on the right lateral wall of the oropharynx, at the level of the radiolucency found in the panoramic image. Overlapping of this structure on the right ramus can be the source of the asymmetry found on the panoramic image. Since cone beam CT is not capable of showing details within the soft tissue, referral to an ENT is required for clinical evaluation and further imaging of the soft tissue enlargement on the left side.

Axial views of oropharynx

These axial cross sectional images demonstrate the asymmetry of the oropharyngeal airway due to the presence of a soft tissue enlargement at the left lateral wall. Medical follow-up is indicated.

Coronal views of oropharynx and rami

These coronal cross sectional images demonstrate the soft tissue asymmetry present on the lateral walls of the oropharynx at the level of the radiolucency present in the panoramic image.

Generalized mild periodontal bone loss

Generalized mild horizontal periodontal bone loss is present. Localized moderate horizontal periodontal bone loss is present on the anterior mandibular teeth.

3. Mild mucositis of both maxillary sinuses

Mild mucositis is present in both maxillary sinuses. This represents an incidental finding with no clinical significance.

4. Frontal sinus mucositis

Mild mucosal thickening is evident along the walls the frontal sinus, which suggests the presence of mucositis. This is a non-significant incidental finding.

5. Monckeberg's arteriosclerosis

Calcifications are visible in the tunica media of the right internal carotid artery. This is an incidental finding with no proven clinical significance and is suggestive of the presence of Monckeberg's arteriosclerosis.

6. Physiologic intracranial calcifications

Midline and parasagittal physiologic calcifications are present intracranially. This is an incidental finding with no significance.

7. Mild cervical degenerative joint disease

Small osteophytes and mild subchondral sclerosis are present on the articulating surfaces of the cervical vertebrae. This is suggestive of the presence of mild cervical degenerative joint disease, which is an incidental finding with no clinical significance.