46-year-old male
A 46-year-old male presented asymptomatic with a history of palatal swelling a few weeks earlier. The radiologist identified a relatively ill-defined radiolucent entity around the apical third of the palatal root of tooth 16, extending to the furcal region with ragged borders, small calcified fragments, loss of the palatal cortical plate, and sclerotic surrounding trabecular bone. While the appearance was suggestive of an inflammatory odontogenic process such as periapical rarefying osteitis, the aggressive imaging characteristics raised concern that a neoplastic process, including a salivary gland malignancy, could not be excluded. Histopathologic evaluation by biopsy was recommended.
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