72-year-old male
A 72-year-old male had a routine CBCT taken by his dental practice, which identified an incidental finding. The radiologist confirmed a large radiopaque mass within the soft tissues medial to the right posterior mandible, representing an exceptionally large submandibular gland sialolith. The stone was large enough to exert a mass effect on the lingual surface of the right mandible, resulting in mild bone remodeling. The concentric, lamellar appearance was textbook in presentation. Additionally, the radiologist identified diffuse idiopathic skeletal hyperostosis along the anterior cervical spine as a separate incidental finding.
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