Selvam Sruthi, Radhakrishnan Sankari, Venkatapathy Ramesh and Mariappan Jonathan Daniel
A 42-year-old man presented with pain and swelling in the left lower back tooth region. He underwent uneventful extraction of impacted tooth 1 year before. There was a well-defined dome shaped swelling of size 1.5 cm × 2.5 cm in the left side posterior alveolar ridge. Lesional aspiration revealed a thick mucus aspirate. Computed tomography revealed significant buccal and lingual cortex destruction with an isodense mass similar in density to adjacent soft tissues was noticed. CECT revealed an ill-defined heterogeneously enhancing soft tissue lesion measuring 1.8 cm × 2 cm, in the left retromolar trigone causing expansion and cortical thinning of the left mandibular ramus. Incisional biopsy of the lesion confirmed the diagnosis of the lesion as MEC of mandible. To date, only one case series and two case reports have focused strictly on the diagnostic imaging characteristics of IMC. This case report focuses on the diagnostic imaging characteristics of IMC.
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