Maxillo-facial radiology case 112

Abstract

This fourteen year old male patient presented with a fast growing painful mass at the left angle of the mandible, showing mucosal ulceration and a loose 37. He also experienced a “pins and needles” sensation on the same side. Clinical examination revealed a hard bony swelling and an ulcerative lesion in the molar region (upper clinical pictures and cropped pantomograph). The lower pictures are from another patient with a similar condition. What are the most important radiological features and what is your diagnosis?