Browse our growing library of real findings from real scans, written by the radiologists who identified them.
A 74-year-old male was referred for a general review of his CBCT scan with no additional clinical information provided. The scan had originally been taken to evaluate a draining fistula on tooth #30, and the large radiolucency in the lower anterior region was an incidental finding.
During comprehensive evaluation, the radiologist identified multiple low-density areas, including a second lesion in the left ramus that was not mentioned in the referral. The presence of multiple lesions raised suspicion for a systemic abnormality, prompting the radiologist to contact the referring clinic for medical history. It was then learned that the patient had a history of plasmacytoma, first identified several years prior, which had returned on his pelvic bone near a hip prosthesis. The patient had recently completed two sessions of proton radiation therapy and was awaiting a PET scan before starting chemotherapy.
This case illustrates how obtaining medical history, combined with thorough scan review, can connect seemingly unrelated findings to a known systemic condition and support the clinical team in coordinating the patient's care.
Read the case →A 56-year-old female's radiopaque lesion at tooth #30 was suggestive of cemento-osseous dysplasia; follow-up was recommended to rule out cementoblastoma.
A 62-year-old male referred with a periapical infection had findings suggesting acute sinusitis and a suspected foreign body; ENT referral was recommended.
An 8-year-old female had likely buccal bifurcation cysts on both a maxillary and a mandibular molar, a presentation the radiologist noted is very rare.
A 34-year-old female's TMJ evaluation showed basilar invagination and other cervical spine anomalies, with referral recommended if not already evaluated.
A 37-year-old male's general review showed a severely limited airway and findings favoring a dual bite, an orthopedically unstable condylar position.
A 43-year-old female's medium field of view scan for one tooth showed lesions strongly suggestive of phleboliths, which may indicate vascular pathology.
An asymptomatic 29-year-old male's small sinus radiopacity was consistent with an ethmoid osteoma causing no issues, so no further intervention was needed.
A 51-year-old female's scan for buccal swelling showed no sign of root fracture but a radiolucent lesion with cortical plate loss; biopsy was recommended.
A 20-year-old male's pre-orthodontic scan showed a calcifying anterior maxillary lesion, and the radiologist recommended addressing it before treatment.
An 11-year-old male's large lesion filling the right maxillary sinus, associated with a displaced tooth, was most suggestive of a benign cyst or tumor.
A 63-year-old female's biopsy-confirmed glandular odontogenic cyst had shrunk on follow-up, and nerve tracing was provided to support surgical planning.
Multiple jaw lesions in a 74-year-old male prompted the radiologist to request his medical history from the clinic, which revealed a known plasmacytoma.
A 10-year-old male's orthodontic evaluation showed multiple odontogenic keratocysts, with findings consistent with possible Gorlin-Goltz syndrome.
An asymptomatic 24-year-old female's scan showed an extreme presentation of what appears to be florid cemento-osseous dysplasia in both jaws.
A 67-year-old male's scan for possible pathology around tooth #6 showed canalis sinuosus, an anatomical variation, rather than resorption or pathology.
In a 72-year-old male under investigation for prostate cancer, a radiopacity resorbing a tooth could be atypical osteosclerosis or a metastatic focus.
A 44-year-old female with prior orthognathic surgery had two cysts identified in the right mandible, consistent with surgical ciliated cysts.
A 16-year-old female's scan for a supernumerary tooth showed a mandibular lesion suspicious for fibrous dysplasia, apparently causing a tooth's impaction.
A 41-year-old female's orthodontic scan showed a sclerotic skull base lesion that may be reactive hyperostosis from a brain tumor, or fibrous dysplasia.
A 46-year-old male with a cancer history and asymptomatic palatal swelling had a large fungating nasal growth identified, and ENT biopsy was recommended.
A suspected cementoblastoma at a 43-year-old female's third molar was identified as cemento-osseous dysplasia; the two differ in treatment implications.
Findings around a 59-year-old female's rapidly mobile teeth suggested possible malignancy, but were determined to be a very rare, serious fungal infection.
A 9-year-old male's pre-orthodontic scan showed an arrested mesiodens inside the nasopalatine canal, a very rare presentation localized with 3-D imaging.
A year after a 76-year-old female's nasal lesion was excised, her scan showed it had not been completely removed and had grown; she had further surgery.
A 19-year-old female's impacted canine scan was suspicious for silent sinus syndrome, and clinical photographs confirmed orbital and facial asymmetry.
An asymptomatic 83-year-old male referred for large maxillary sinuses had a lesion suggestive of a large spheno-choanal polyp, a rare incidental find.
An 18-year-old female's orthodontic scan showed bilateral coronoid hyperplasia and a very rare zygoma osteoma, likely from repeated coronoid contact.
A 14-year-old female with Treacher Collins syndrome had severe mandibulofacial dysostosis identified on a dental, orthodontic, and surgical planning scan.
A 26-year-old female referred for a left nasal radiopacity had an aggressive expansile lesion identified, and urgent ENT consultation was recommended.
Suspected apical periodontitis was the likely source of a 55-year-old female's swelling; parotid calcifications were possibly tied to another condition.
An incidental finding on a 72-year-old male's CBCT was identified as an exceptionally large submandibular sialolith, mildly remodeling the mandible.
A 9-year-old male with a questionable history of linear nevus sebaceous syndrome, which is highly uncommon, had cysts and orbital projections on imaging.
What first appeared limited to the sphenoid on a 17-year-old female's post-orthodontic scan was an extensive skull base lesion reaching the optic canal.
Post-surgical skull base defects on a 51-year-old male's scan led the radiologist to contact the practice, which confirmed an undisclosed chordoma removal.
A 12-year-old female's palatal swelling finding was consistent with an anatomic variation, and the surgeon advised surgery was not needed at that time.
Histology on a 50-year-old female's lesion could not rule out cemento-ossifying fibroma; four years later it had nearly doubled and was identified as one.
A 75-year-old male's scan for about two years of pain at tooth #2 showed no significant overt dental pathology, and the adjacent sinus was a likely source.
A 24-year-old female with pain and swelling had a large recurrent odontogenic keratocyst identified, 29 months after her last radiologist-reviewed scan.
A 69-year-old male's mandible showed a likely intraosseous vascular malformation on both sides, and deferring invasive procedures was recommended.
A 37-year-old female receiving Botox injections had a well-defined concavity identified on the mandible near the attachment of the masseter muscle.
Maxillary sinus thickening suspected to be a pseudocyst showed aggressive features on the radiologist's review; biopsy confirmed adenoid cystic carcinoma.
Sclerotic jaw findings in a 15-year-old male led to confirmation of Gardner syndrome, and family screening found his mother's cancer at stage 2.
Dense bone islands and osteomas on a 17-year-old male's TMJ scan strongly suggested familial adenomatous polyposis; primary care referral was recommended.
A 56-year-old female with jaw clicking had degenerative joint disease identified, plus a large loose body suggesting secondary synovial chondromatosis.
A 75-year-old female's TMJ mass evaluation identified a condylar osteochondroma, plus calcified loose bodies suggesting secondary synovial chondromatosis.
A 79-year-old male's TMJ scan for ear and jaw pain showed a very large soft tissue mass obstructing his airway, and ENT referral was strongly recommended.
Severe sinus thickening displacing a 61-year-old female's orbital floor on a TMJ scan led the radiologist to contact the practice and stress ENT referral.
Lesions in a 73-year-old female's TMJs and spine put metastasis in the differential; the practice confirmed a breast cancer history not in the referral.
Tongue base asymmetry on a 90+ year old male's TMJ scan led the practice, on the radiologist's advice, to refer him to ENT, where carcinoma was confirmed.
A 43-year-old female's post-extraction scan showed signs of osteomyelitis with very high fracture risk, and the radiologist contacted the practice at once.
A lesion leaving a 61-year-old male only millimeters of airway led the radiologist to call the practice; the referring doctor directed him to urgent care.
Severe condylar resorption within three months in a 21-year-old male suggested septic arthritis, and antibiotics at urgent care helped resolve symptoms.
Lytic skull changes on a 69-year-old female's TMD scan, absent on a scan from 10 years earlier, led to an MRI that confirmed a brain tumor.
A 62-year-old female's condylar changes proved to be breast cancer metastasis, and a follow-up scan two years later showed a suspected new C4 lesion.
On second-opinion review, a 74-year-old female's TMJ showed a large loose ossified body, with findings suggestive of rare synovial chondromatosis.
A 5-year-old's airway scan showed parietal calvarial thinning that falls in a gray zone between developmental variation and a pathologic process.
A lesion occluding a 14-year-old male's entire nasopharynx led the practice, on the radiologist's recommendation, to promptly refer him to ENT.
A 35-year-old male's airway and sinus scan showed temporal bone changes consistent with fibrous dysplasia, and monitoring for hearing loss was recommended.
Likely calcified lymph nodes on a 6-year-old male's orthodontic scan led the practice, on the radiologist's advice, to refer him to pediatrics and ENT.
A mass behind a 60-year-old male's soft palate was considerably larger on the scan than it appeared clinically, severely obstructing his airway.
A 46-year-old male's initial airway exam showed a sphenochoanal polyp blocking the right choana, a rarer find than the more common antrochoanal polyp.
A 27-year-old male's TMJ and airway analysis before frenuloplasty showed findings consistent with silent sinus syndrome, and ENT referral was recommended.
A 74-year-old female's scan before a mandibular advancement device showed a tonsillar lesion suspicious for carcinoma that she had been unaware of.
A 7-year-old male's airway review showed a foreign body partially obstructing the right ear canal, and ENT referral for its removal was recommended.
A 61-year-old female's scan before planned oral appliance therapy for sleep apnea showed a large retropharyngeal lipoma likely contributing to her OSA.
Dense radiopacities across a 70-year-old female's skull base were likely oil-based myelogram contrast that had persisted for about 50 years.
A 51-year-old male referred by a sleep practice had a severely limited airway identified, along with condyle positioning that favored a dual bite.
A 4-year-old with no pain had findings consistent with bilateral otitis media and mastoiditis, and after ENT placed tubes, her hearing improved.
At the edge of a small field of view endodontic scan, a 20-year-old's palate showed a lesion suggestive of a surgical ciliated cyst.
In a 46-year-old male with recent palatal swelling, a lesion at the palatal root of tooth 16 showed aggressive features, and biopsy was recommended.
A 72-year-old female's CBCT for tooth #3 showed asymmetric adenoid enlargement, which nasopharyngeal cancer can resemble; ENT evaluation was recommended.
A 27-year-old female's tooth #30 radiopacity was more characteristic of a dense bone island, though resorption on the same tooth may still need action.
A radiolucency at a 78-year-old male's central incisor could originate from the tooth or the nasopalatine canal, an ambiguity only a biopsy can resolve.
In a 60-year-old male with palatal swelling despite vital teeth, the scan showed an expansile lesion most suggestive of ameloblastoma, a benign neoplasm.
Findings at a 74-year-old female's tooth #9 favored a periapical lesion over a nasopalatine duct cyst, two possibilities that call for different treatment.
In a 39-year-old male with lower anterior pain, findings suggested cemento-osseous dysplasia with suspected perforations; infection should be considered.
For an 87-year-old female's chin mass, inconclusive on ultrasound, CBCT showed apical lesions with no apparent healing and suggested soft tissue infection.
An apparent large endodontic lesion in an 80-year-old male was more consistent with malignancy, and the office confirmed he had multiple myeloma.
A dense circular structure near a 66-year-old female's foramen magnum was consistent with an aneurysm coil mass, correlating with her reported surgery.
A carotid calcification toward the midline on a 58-year-old female's implant scan suggested an uncommon retropharyngeal type that could mimic the hyoid.
A 49-year-old male's implant scan showed a hypoplastic maxillary sinus with caved-in walls and bowed orbital floor, suspicious for silent sinus syndrome.
A 37-year-old female's scan for pain after trauma showed an implant apex entering the inferior alveolar canal; neurosensory assessment was recommended.
A 73-year-old female with discomfort near implant 19 had an asymmetrically positioned cosmetic mandibular implant identified, with mild cortical erosion.
In a 70-year-old male with known malignancies, one poorly defined lesion among several inflammatory ones needed metastatic disease ruled out.
A 57-year-old female's implant planning scan had artifact from several jewelry pieces left on, including an earring just outside the field of view.
A 48-year-old male with all-on-x planned had floating-tooth bone destruction identified; biopsy was recommended to rule out Langerhans cell histiocytosis.
A 71-year-old female's implant scan showed a linear radiopaque entity at the tongue base, a common site for impacted sharp food objects such as fish bones.
An implant scan of a 64-year-old male showed expansion of the middle cranial fossa, which was determined to be a slow-growing, benign brain tumor.
A 46-year-old female's implant site had a lesion suggesting fibrous dysplasia or rare segmental odontomaxillary dysplasia, warranting surgical caution.
A 41-year-old male's scan from a routine exam and cleaning showed extensive sinonasal changes, and an expedited ENT referral was recommended.
A brain hyperdensity on a 73-year-old female's TMJ scan prompted the radiologist to call the practice, and an MRI the same day confirmed a meningioma.
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All cases are de-identified. Details are limited to what the submitting radiologist reported; findings are identified on imaging and confirmed through clinical correlation by the treating team.
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