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Radiology Quiz Case 1
Charles B. Armstrong, MD;
Gregory K. Hartig, MD
University of Wisconsin, Madison
Arch Otolaryngol Head Neck Surg. 2009;135(2):210.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 69-year-old man was referred for otolaryngologic evaluation after a routine panoramic radiograph (Panorex) demonstrated a multilocular lytic lesion surrounding his right third mandibular molar. He had experienced a sense of fullness in the right side of his mandible for several months, but he denied having pain, loosening of teeth, changes in occlusion, or trismus. His medical and family histories were unremarkable, and he had no history of alcohol or tobacco abuse.
Physical examination revealed fullness of the lateral cortex of the mandible, just posterior to the second molar, which was noted to be slightly loose. No tenderness or mucosal abnormalities were noted. The findings of a cranial nerve examination, including testing of mental nerve function, were normal, and the neck examination showed no nodal enlargement. Computed tomography of the neck and mandible revealed a 1.7 x 4.0-cm, expansile, lytic lesion in . . . [Full Text of this Article]
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