Radiology Finale boomboomboomboom Flashcards

1
Q

Describe the shape of a lymph node calcification

number of these?

A

Cauliflower

often grouped

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2
Q

Submandibular Sialoliths are what shape?

They are usually superimposed where?

A periapical film usually reveals what part of a Sialolilth?

A

Smooth, like dense bony island

on the Mandible

upper part

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3
Q

9:1 female to male

African Americans, Asians overrepresented

Vital Teeth!

A

Periapical cemental dysplasia

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4
Q

2 types of Fibro-osseous (specifically cemento-osseous) lesions of the jaws

A

Periapical cemeto-osseous dysplasia

Florid cemento-osseous dysplasia

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5
Q

What do we not do with Periapical/Florid cemento-osseous dysplasias

A

Tx/RCT

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6
Q

Periapical Cemental Dysplasia 3 stages:

A

Radiolucent (loss of lamina dura)

Mixed

Mature

***at root tips

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7
Q

Periapical Cemento-osseous dysplasias are often found in the anteriors and the posterior Mandible (after Mn1M extraction)

A

True

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8
Q

Florid osseous dysplasia differs from periapical how?

A

still female prediliction (not as much)

still African americans/asians

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9
Q

epicenters of Florid osseous dysplasia will be above the…

A

IAC

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10
Q

SCC presentation (3 aspects)

A

permeates, invades, destroys bone

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11
Q

Osteosarcoma affect the ______ space and produce _____

How does this affect the trabeculation/cortical outline of the Mn?

A

PDL, bone

Destroyed, missing

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12
Q

Stylohyoid ligament ossification has what symptoms?

The stylohyoid ligament ossified and _______

Associated w/ ______ syndrome, in which head turning causes pain and there is loss of vision with otalgia

A

Asymptomatic

Elongates

Eagle Syndrome

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13
Q

Elongated stylohyoid process different from Calcified stylohyoid complex, a type of _____ ossification

A

Heterotrophic

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14
Q

Fibro-osseous disease in young people

A

Fibrous Dysplasia

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15
Q

3 descriptors of Fibrous Dysplasia

A

Granular pattern

Cotton Wool

Orange Peel

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16
Q

Fibrous dysplasia may arise next to ______ sinuses

the expansion displaces sinus borders and affects facial _______

Most often found in the Posterior _____

Lesion is poorly defined

A

paranasal

symmetry

Maxilla

True

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17
Q

What is the most common oral cavity fracture?

2nd most common?

A

Mn condyles

Angle of body

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18
Q

A discontinuity in the normal bony outline can be a fracture, including ______

A

opacity line in the Mn

19
Q

Hypoplasia of the condyle usually affects:

Hyperplasia affects:

A

just condyle

condyle, ramus, post Mn

20
Q

Subchondral bone cyst (small round radiolucent areas w/ irregular margins)

Osteophyte - new bone formation

Joint mice - osteophyte breaks off

A

TMJ degeneration

21
Q

Lymph (calcified) radio presentation:

Tonsils:

Sialolith:

Phlebolith:

A

Cauliflower

Opaque grouping, angle of Mn

Round, smooth

dispersed “snowy” associated w/ hemangioma in veins

22
Q

Calcified Atheroma can occur where?

Around what spinal location?

In what type of radiograph?

A

Carotid Bifurcation

C3-C4 (up to C5)

Pano

23
Q

Uncomplicated Crown Fracture:

Complicated Crown Fracture:

A

Enamel only, or Enamel + Dentin (no pulp)

Enamel, dentin, exposure of pulp

24
Q

LeFort Fractures, Type I:

Type II

Type III

A

Horizontal force, body of Mx

Triangular, IO rim, pterygoid plates

Lateral orbital walls, ethmoid, zygomatic arches

25
Q

Best imaging modality for LeFort’s:

A

CBCT

26
Q

Multiple Myeloma presentation:

A

Punched out (like paper punch)

No Cortical border

multilocular, bilateral

27
Q

Paget’s Disease (vs Multiple Myeloma)

Is systemic so entire Mn will _____

Spacial relationship w/ IA canal

A

Cotton Wool

Enlarge

above and below

28
Q

Osteoporosis:

has thin ______

Osteopetrosis

A

Older women, loss density

cortical boundaries

No osteoclasts, diffuse hazy radiopacity

29
Q

Arthritis in the Condyle:

Synovial chondromatosis:

Condylar hyperplasia:

Rheumatoid arthritis:

A

Sharpened pencil

cartilaginous nodules (radiopaque loose bodies around condylar head)

Elongation/Bend, more radiopaque

Puzzle pieces (fibrous/bony/ankylosed)

30
Q

Retention pseudocyst:

Mucocele:

Inflammatory Sinus:

Sinus Infection:

A

Dome Shaped Mx sinus

Blocked sinus ostium (unilateral opacity of entire sinus space)

Thickening

Strip/elevate periosteal lining (“halo sign”)

31
Q

Cherubism:

A

Think young, multiple unerupted teeth

32
Q

Teeth floating in Air:

A

Langerhan’s cell Histiocytosis

33
Q

Malignancy, Histiocytosis, SCC, Lymphoma, Leukemia, can all cause Teeth Floating in Air

A

True

34
Q

Fibrous Dysplasia unique radiographic appearance:

A

Ground Glass

Granular appearance

35
Q

Periapical Osseous Dysplasia could just be one tooth, like a lower Molar

or go from canine to canine

Lucent/Mixed/Opaque Stages

A

True

36
Q

Mucositis is a thickening of lining of the sinus/inflammation due to tooth pathology/origin and has a _____ sign

Presents as what in the Mx sinus?

A

Halo

Thickening

37
Q

Sinusitis, look for inflammation at exit of the sinus

Acute sinusitis is the most common complication of what?

A

True

common cold

38
Q

Sialoliths commonly occur in what 3 areas?

A

Submandibular gland

Sublingual gland

Wharton’s duct

39
Q

Hyperpituitarism is _____ if onset in children

______ if adult

A

Gigantism

Acromegaly

40
Q

Acromegaly, very large jaw often w/ Class III open bite occlusion

A

True

41
Q

Premature loss of primary teeth suggests what?

A

Hypophosphatasia

42
Q

Chipmunk/rodent face

A

Thallasemia

43
Q

Mx cysts/lesions can do what 3 things to the Mx sinus?

A

Bone intact

Sinus floor raised

Sinus perforated

44
Q

How do you image the discs of the TMJ?

A

MRI