PMC9106228_01
The mixed radiopacity lesion rising from the buccal aspect of the right parasymphyseal region is evident on this mandibular true occlusal radiograph, with an ill-defined periphery
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F1
The mandibular true occlusal radiograph [Figure 1] demonstrates a calcified, slightly multilocular appearing lesion arising from the buccal cortex of the mandible in the right parasymphyseal region.
Panoramic radiograph. No obvious odontogenic or bony pathology is noted
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F2
Although this lesion was not readily apparent on the panoramic radiograph, it did serve to help steer the differential diagnoses away from odontological causes [Figure 2].
Low-power view photomicrograph demonstrating islands of mature lamellar bone scattered amongst the fatty tissue component
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F3
There are multiple foci of osseous metaplasia showing trabeculae of remodeling bone, focally incorporating loose fibrofatty tissue with no evidence of hematopoietic cells [Figure 3 and 4].
High-power photomicrograph demonstrating mature adipose tissue and lobules of adipocytes
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F4
There are multiple foci of osseous metaplasia showing trabeculae of remodeling bone, focally incorporating loose fibrofatty tissue with no evidence of hematopoietic cells [Figure 3 and 4].