TECHNIQUE:  Conventional panorex. 

Comparison: None. 

Findings:  There are multiple areas of dental post operative change with multiple absent molars seen bilaterally along the maxillary and mandibular alveolar ridges.  The most notable finding is that of abnormal geographic sclerosis in the left mandibular body.  The lesion is non expansile.  There is not evidence of cortical breakthrough.  No radiographically evidence soft tissue component is noted.  There is a thin radiolucent halo surrounding the lesion.  The remainder of the osseous structures are intact.  The visualized paranasal sinuses are unremarkable.   

IMPRESSION:  Left mandibular body sclerotic lesion.  Differential considerations include: Cemental dysplasia, atypical presentation of fibrous dysplasia and osteoma.