[Oradlist] calcification in the brain

[Hassan, B.]

Dear colleagues,

 

I have a patient referred for a CBCT scan for orthodontic evaluation.
Upon reviewing the reconstruction, I spotted a rather radio-opaque
object floating in the middle cranial fossa in the mid-sagittal plane
posterior and superior to the hypophyseal fossa. The patient is 31 years
old and his medical history was unremarkable. However, upon further
discussion the patient admitted having a trauma with a baseball bat
about 10 years ago. He was not admitted to any hospital and he didn't
have any radiographic exam. Upon clinical examination, a small scar was
observed in the occipital region, which I thought is a bit far from the
location of the abnormality. The patient was scanned with the NewTom 3G
12'' inch large FoV. The possibility of this being an image artifact is
slim as well. 

 

Before I forward the patient to a neuro-radiologist I would like to have
your insight on the case. I attached the CBCT reconstructions we made
for him.  

 

Thanks in advance,

 

Bassam

 

-- 
Bassam A. Hassan, DDS, MSc Medical Imaging, PhD student
Department of Oral Radiology
Academic Centre for Dentistry Amsterdam (ACTA)
Amsterdam
The Netherlands.

web ad: www.acta.nl
email: b.hassan at acta.nl
Tel: +31-(0)20-5188561 
Fax: +31-(0)20-5188480

 

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