PMC6352643_01
X-ray orthopantamogram showed misalignment of teeth with distorted root of premolar and molar tooth and loss of few incisor and canine teeth
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F1
The orthopantomogram radiograph showed misalignment of teeth with the distorted root of premolar and molar tooth and loss of few incisors and canine teeth [Figure 1].
Technetium-99 m methylene diphosphonate blood flow images of skull and upper thorax shows a region of focal hyperperfusion in the right hemi-mandible corresponding to a focal region of tracer pooling in the same region of the right hemi-mandible in the blood pool images shown subsequently. In addition to this focus, the blood pool images show mildly increased tracer pooling in rest of the mandibular and maxillary regions as well
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F2
Tc-99 m-MDP first pass images of the skull and upper thorax MDP blood flow images of the skull and upper thorax shows a region of focal hyperperfusion in the right hemimandible [Figure 2] corresponding to a focal region of tracer pooling in the same region of the right hemi-mandible in the blood pool images shown subsequently. In addition to this focus, the blood pool images show mildly increased tracer pooling in rest of the mandibular and maxillary regions as well [Figure 2].
Technetium-99 m methylene diphosphonate Whole body planar and static images (in anterior and lateral views) show diffuse heterogeneously increased tracer concentration involving the entire mandible and bilateral maxillary regions with evidence of bony expansion
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F3
Delayed phase whole-body and static planar images showed diffuse heterogeneously increased tracer concentration involving the entire mandible and bilateral maxillary regions with evidence of bony expansion [Figure 3].
Single-photon emission computed tomography with low-dose computed tomography of the skull and neck region in axial, coronal, and sagittal views, respectively show diffuse heterogenously increased tracer concentration corresponding to symmetrical, expansile, multiloculated cystic lesions with soap bubble appearance and soft tissue component within involving the mandible and bilateral maxilla
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F4
The lesions were predominantly of medullary origin with few interspersed areas of cortical erosion and destruction as well [Figure 4].