[Oradlist] case for differential interpretation

[David MacDonald]

Dear Nambiar.

The Panoramic radiograph and CT images do not appear to be  
contemporaneous. The lesion affecting mandible, as displayed on CT, is  
bilateral.  This is fibrous dysplasia. The maxilla is unaffected.  3D  
reconstruction you included shows the part of the skull base, which  
looks as little suspicious- check CT! Should review the patient for  
involvement of other bones etc.
Kind regards,

David
Dr David MacDonald   BDS, BSc(Hons.), LLB(Hons.), MSc, DDS(Edin.),  
DDRRCR, FDSRCPS, FRCD(C).
Associate Professor & Chairman of the Division of Oral & Maxillofacial  
Radiology, Faculty of Dentistry, UBC,
2199 Wesbrook Mall , Vancouver V6T 1Z3, BC, Canada,
Tel: 604 822 9762  Fax: 604 822 8279




On 25 Sep 2008, at 01:37, phrabha at um.edu.my wrote:

> Dear Colleagues,
>
> Attached herewith is a case of 12 year old child with a continuously  
> growing jaw. This case was referred to me for a opinion. I have  
> selected the  appropriate images, including  the CT images for your  
> perusal. Please assist so that I do not miss anything .
>
> Thanking you.
>
> Phrabha Nambiar
>
> Faculty of Dentistry
>
> University of Malaya, Malaysia
>
>
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