My good friend Blake Johnson (Neuroradiologist extrordinare) showed me this case because TMJ exams are in the “no man’s land” as far as many radiological proactices being read by many neuroradiologists and we consult with each other. Afterall it is a synovial joint and like I often say, “It’s a half a knee – kinda”.
The patient is a 34-year-old female with right carotid region mass/swelling. Nontender. Diffuse sclerosis of the R mandible and there is a uniformly enhancing (on MRI) mass. We discussed possibilities like chronic osteo, inflammatory which can be associated with some sclerosis such as erdheim chester, CRMO (although a bit old). Extraosseous mass is confusing.
pubs.rsna.org/doi/full/10.1148/rg.327125003
What are your thoughts? You can send to me privately by replying to this email and I’ll summarize or even better, join the OCAD website to leave comments at ocadmsk.com/ Cases posted through the group will be automatically archived to the site, but to view the archived cases and leave comments you must register!
First exam about a week ago. Non contrast.
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2nd exam, yesterday (you can tell a neuroradiologist windowed the CT 🙂
