Case of September 2016

 

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Clinical History:


An 11-year-old boy presented with progressive pain and swelling at the right side of the jaw for 4 weeks. There was no fever all along. Physical examination revealed bony hard growth involving the lower border of mandible. Blood tests including white cell count and C-reactive protein were normal. Radiographs, computed tomography (CT) and Technetium-99m bone scintigraphy were performed as further investigations.



Figure 1. Orthopantomogram

Orthopantomogram

Figure 2. Frontal Radiograph

Frontal Radiograph


Figure 3. Lateral Radiograph

Lateral Radiograph


Figure 4. Coronal CT Image

Coronal CT image



Figure 5. Axial CT Image

Axial CT Image


Figure 6. Bone Scintigraphy

Bone Scintigraphy