80-year-old male
An 80-year-old male was referred by an endodontist for evaluation of what appeared to be a large endodontic lesion. Upon review, the radiologist identified clinical features more consistent with malignancy rather than a simple dental infection. Consultation with the referring office confirmed the patient had been found to have multiple myeloma. The radiologist noted that the distinction between an endodontic lesion and a malignant process significantly changes the course of treatment.
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