File:Bisphosphonate-related osteonecrosis of the jaw (Radiopaedia 71324-81642 non-contrast 76).jpg

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Description	Radiopaedia case ID: 71324 Image ID: 51611741 Image stack position: 76/181 Aux modality: non-contrast Study findings: There is an ill-defined area of osteolysis interrupting the superficial and deep cortices, in the right mandibular angle deep to the right 2nd molar tooth, extending to the mandibular canal with bone marrow sclerosis and thick periosteal reaction of the right hemimandible. Lysis of the roots of both right lower molar teeth is. Overlying soft tissue edema is noted as well as edema and enlargement of the right masseter muscle.In keeping with the patient's medical history, appearances are suggestive of bisphosphonate induced osteonecrosis of the jaw. Multiple enlarged right submandibular lymph nodes, the largest measures 11 mm in short axis. Multiple sub centimeter lymph nodes in both cervical regions. There is an elongated ovoid dense fluid collection in the right side of the retropharyngeal space measuring 6.7 x 2.8 x 1.3 cm. A small fluid attenuation focus in the right tonsil. Modality: CT System: Head & Neck Findings: An area of sclerosis and osteolysis at the junction of the right body and ramus of the right hemi-mandible. Sclerosis of the right hemi-mandible is seen.
Date	Published: 29th Sep 2019
Source	https://radiopaedia.org/cases/bisphosphonate-related-osteonecrosis-of-the-jaw-4
Author	Tamer O. Abdo
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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current	22:14, 15 June 2021		512 × 512 (66 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:71324 (batch #4515-240 B76)

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