|
Lesion/ Condition
|
Radiological appearance
|
|
Acute osteomyelitis
|
Moth eaten radiolucency
|
|
Aneurysmal bone cyst
|
Honeycomb or soap bubble appearance
|
|
Apert’s syndrome
|
Skull radiograph“
Beaten metal” pattern |
|
Calcifying epithelial odontogenic tumor
|
Driven snow appearance
|
|
Cemento-osseous dysplasia
|
Cotton wool radiopacities
|
|
Central Hemangioma
|
Honey combed or sunburst or cotton wool appearance
|
|
Cherubism
|
Ground glass appearance; Floating teeth syndrome
|
|
Chronic diffuse sclerosing osteomyelitis
|
Cotton wool appearance/ Mosaic paatern
|
|
Coronal dentin
dysplasia |
Thistle tube appearance
|
|
Crouzon syndrome
|
Skull radiograph“
Beaten metal” pattern |
|
Dentinogenesis imperfecta – 2
|
Shell teeth
|
|
Ewing’ s sarcoma
|
Onion skin appearance; sunray appearance rarely
|
|
Fibrous dysplasia
|
Ground glass appearance; Rind sign
|
|
Garre’s osteomyelitis
|
Onion peel appearance
|
|
Gaucher’s disease
|
Erlenmeyer flask deformity of distal femur
|
|
Gigantiform cementoma
|
Cotton wool radio-opacities
|
|
Globulomaxillary cyst
|
Pear shaped radiolucency between maxillary lateral incisor
and canine |
|
Gradner syndrome
|
Cotton wool radio-opacities
|
|
Hemangioma
|
Hair on end or crew cut appearance
|
|
Hyperparathyroidism
|
Partial loss of lamina dura; Ground glass appearance of
bone |
|
Hypophosphatasemia
|
Metaphyses of long bone show spotty or streaky or
irregular ossifications |
|
Meningioma
|
Hair on end or crew cut appearance
|
|
Multiple myeloma
|
Punched out areas of radiolucency;
|
|
Nasopalatine duct cyst
|
Heart shaped radiolucency between roots of maxillary central
incisors |
|
Odontogenic myxoma
|
Honey comb / Mottled appearance
|
|
Osteomalacia
|
Looser’s zone pseudofracture line
|
|
Osteopetrosis
|
Vertebrae- Rugger-Jersey pattern; Ribs – Endo bone (Bone
with in bone )pattern; roots are not easily distinguishable from adjacent bone |
|
Osteosarcoma
|
Intramedullary parts appears as cumulus cloud densities;
sunray/ sun burst pattern; widening of periodontal ligament; Codman’s triangle (periosteum raised like tent) |
|
Paget’s disease
|
osteoporosis circumscripta; Cotton wool appearance;
hypercementosis; loss of lamina dura |
|
Plasmacytoma
|
Hair on end or crew cut appearance
|
|
Primary Intraosseous Carcinoma
|
Moth eaten radiolucency
|
|
Pseudohypoparathyroidism
|
Chevron pulp
|
|
Psoriatic arthritis
|
Pencil cup appearance; opera glass deformity in joints
|
|
Regional odontodysplasia
|
Ghost teeth
|
|
Rickets
|
Muller’s line (Widened space @ the site of zone of
preparatory calcification)
Rachitic rosary- costochondral prominence
|
|
Scleroderma
|
Widening of lamina dura; bone resorption at angle, condyle
or coronoid area |
|
Scurvy & Chronic Vitamin C
deficiency |
Increased density @ end of long bones as white lines-
“line of Frenkel”;
Signet ring appearance of epiphyses;
Zone of rarefaction around white lines- represents
“Trummerfield zone”
Sclerotic ring around epiphyses – “Winberger’ line”
Metaphyseal corner fracture- “Pelkan spur”
|
|
Severe iron deficiency in child
hood |
Hair on end or crew cut appearance
|
|
Sialdenosis (sialography)
|
Leafless tree
|
|
Sickle cell anemia
|
Hair on end or crew cut appearance
|
|
Sjogren’s syndrome (Sialography)
|
Branchless fruit laden tree or cherry blossom appearance
|
|
Synovial sarcoma
|
Spotty calcification; snow storm appearance
|
|
Synovial sarcoma
|
Snow storm appearance
|
|
Thalassemia
|
Rib with in a rib appearance of rib; Hair on end or crew
cut appearance; salt and pepper effect; Thin lamina dura |
Prof. Rooban Thavarajah
Oral and Maxillofacial Pathologist
List