
55-year-old female
A 55-year-old female was referred by a general dentist for evaluation of a tender facial swelling in the suborbital area adjacent to teeth #6 and #7. The radiologist identified findings on tooth #6 suggestive of apical periodontitis as the likely source of the swelling, along with widespread dental disease including caries and additional apical lesions. During full-volume review, the radiologist also identified multiple punctate soft tissue calcifications in the area of the right parotid gland and possibly the left. The radiologist noted that there is a possible association of these calcifications with other medical conditions, such as sialadenitis or autoimmune conditions. The patient's demographics were noted to be consistent with a profile that warrants further evaluation, as identification of a previously unknown underlying condition could have a significant impact on the patient's overall care and would provide important information for forming dental treatment options, particularly regarding xerostomia and its underlying cause.
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