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dark blue
phleboliths

light blue
triticeous cartilage and thyroid cartilage

dark green
calcified lymph nodes

light green
tonsilloliths

purple
calcified atheromatous plaque

orange
antrolith

beige
ossified stylohyoid ligament

red
sialoliths

what’s goin on here?
long standing cyst that has residual calcifications

what is this?
dystrophic calcification of the tonsils

what is this?
dystrophic calcification of lymph nodes

what is this?
calcification of the carotid artery

what is this?
calcifications of the carotid artery on MDCT

in the 5 pixels this image is comprised of, what do you see?
calcification of the facial artery

what is this?
phleboliths

what is this?
phleboliths

what is this?
sialolith

what is this?
sialolith

what do you see in this ~reconstructed pano~
antrolith

what is this?
antrolith

what is circled in red?
triticeal cartilage

what is the white arrow pointing to?
calcified thyroid cartilage

what is A?
calcification of triticeous cartilage

what is B?
calcification of thyroid cartilage

what are the white arrows pointing at?
calcified thyroid cartilage

what are the white arrows pointing at?
ossification of the stylohyoid ligament

what are the white arrows pointing at?
ossification of the stylohyoid ligament

what is this?
osteoma cutis

1?
alveolar crest

2?
CEJ

3?
lamina dura

4?
PDL space

5?
alveolar bone proper

what is the arrow pointing to?
early bone changes

what kind of bone loss is this?
horizontal

what kind of bone loss is this?
vertical

what are the arrows pointing at?
interdental craters

what can be seen in these images?
buccal/lingual cortical plate loss

what are these arrows pointing at?
osseous deformities in furcations

what is the arrow pointing at?
periodontal abscess

what’s going on here?
aggressive periodontitis

what is a, and how can you tell?
squamous cell carcinoma- irregular bone destruction and this is the only area affected

what is b, and how can you tell?
malignant tumor- loss of the floor of the maxillary sinus and irregular PDL widening (metastasis)

what is c, and how can you tell?
langerhans’ cell histiocytosis- bone destruction with epicenter at the midroot region, scooped out, usually no other pathology

what is the epicenter of this lesion and what does that tell you?
within the IAN
neural or vascular origin
punched-out
sharp boundary but no radiopaque line
surrounding bone appears normal

sclerotic
thick radiopaque border of reactive bone
indicates slow growth, potential of the lesion to stimulate production of bone

soft tissue capsule
radiolucent at the periphery
usually indicates a benign tumor

blending
gradual transition between adjacent normal and abnormal bone
focus on trabecular, not marrow

invasive
area of few or no trabeculae
focus on marrow spaces creating finger like projections
rapid growth, malignancy


what shape is this lesion?
scalloped

how would you describe these lesions?
well defined, irregular

a?
air/gas

b?
fat

c?
fluid

e?
bone marrow

blue line?
soft tissue

purple line?
enamel

green line?
metal

pink line?
cortical bone

red line?
trabeculae

what trabeculation pattern is this?
ground glass

what trabecular pattern is this?
orange peel

how would you describe this trabecular pattern?
increased number or size of trabeculation
internal septation
strands of bone, can divide lesion into compartments- multilocular
can be curved or straight, coarse or fine

dystrophic calcification
occurs in damaged soft tissue like lymph nodes or chronically inflammed cysts

amorphous bone
homogenous, dense amorphous structure

tooth structure
enamel, dentin, pulp


a lesion that apically displaces teeth is typically…
follicular cyst or odontomas

a lesion that anteriorly displaces teeth is typically…
cherubism

a lesion that superiorly displaces teeth is typically…
lymphoma, leukemia, langerhan’s
uniform widened PDL with intact lamina dura is typically…
orthodontic movement

irregular widened PDL with destruction of lamina dura is typically…
malignancy, quickly grows throughout PDL space


if you see tooth floating in the air on a radiograph, it is likely…
malignancy

superior displacement of the IAN is typically associated with…
fibrous dysplasia

widening of the IAN is typically associated with…
benign neural or vascular lesion

irregular widening of the IAN with cortical destruction is typically associated with…
malignancy
ossifying fibroma grows…
concentrically

fibrous dysplasia…
enlarges bone but maintains bone shape

periosteal reaction
exudate from inflammatory lesion lifts periosteum off of the surface
when it occurs multiple times, can result in onion-skin appearance
most commonly seen with osteomyelitis
less common but can be seen in leukemia and langerhan’s


what is this?
periapical inflammatory lesion

what is this?
periostitis

what do all of these images have?
periapical inflammatory lesion

what is this?
acute phase osteomyelitis

what is this?
periosteal bone reaction

what is this? (there are more pics so look at the ppxt)
osteomyelitis

the two images on the left show…. while the two images on the right show…
radiographic manifestations of malignancies
radiographic manifestations post radiation treatment

what is this? (there are more pics so look in the ppxt)
osteoradionecrosis

what is this? (there are more pics so look in the ppxt)
antiresorptive agent- induced ONJ

what is this?
pericoronitis

a and d?
ethmoidal sinuses

b?
maxillary sinuses

c?
frontal sinuses

e?
sphenoidal sinuses

a?
hiatus semilunaris

b?
middle meatus

c?
ethmoid bulla

d?
infundibulum

e?
uncinate process

f?
maxillary ostium