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Appearance of Florid Cemento-Osseous Dysplasia on SPECT/CT

Yang, Dorothy Daiyi, MA, MB BChir*; Ghuman, Abeer, BA, MB ChB, MRCP; Stratton, Richard, MA, MD, PhD, FRCP; Hall, Margaret, MB ChB, MSc, FRCP*; Parthipun, Arum, BSc, MBBS, MRCP, FRCR*

doi: 10.1097/RLU.0000000000002512
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Florid cemento-osseous dysplasia, a benign fibro-osseous condition, is diagnosed based on characteristic radiographic appearances of multifocal round or lobulated sclerotic lesions associated with the teeth in multiple quadrants of the jaws. We report a case of a 73-year-old woman who presented with a painless sharp bony area on the right side of her maxilla. SPECT/CT of facial bones demonstrated multifocal intense increased uptake in both the maxilla and mandible, corresponding to ill-defined florid sclerotic periapical lesions seen on CT, in keeping with a classical appearance of florid cemento-osseous dysplasia.

From the Departments of *Nuclear Medicine, and

Rheumatology, Royal Free London NHS Foundation Trust;

Centre for Rheumatology and Connective Tissue Diseases, Royal Free Hospital Medical School, UCL, London, United Kingdom.

Received for publication November 29, 2018; revision accepted January 18, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Dorothy Yang, MA, MB BChir, Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London NW3 2QG, Pond St, United Kingdom. E-mail: ddyang21@gmail.com.

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