36 years Female (DOB:2/10/1980)Reason: eval for osteo vs neoplasm History: Chronic osteo on CT, persistent CRP elevation patient is status post recent tooth extraction.PROVIDER/ATTENDING NAME: REASHEAL M LEHMANN MADHU C YARLAGADDA There is an infiltrating and contrast enhancing lesion which involves the right alveolar ridge centered along the right-sided maxillary premolar which extends up into the inferior aspect of the right maxillary sinus including the inferior aspects of the lateral wall of the right maxillary sinus. Additionally there is extension into the adjacent soft tissues surrounding the right alveolar ridge. There is infiltration of fat planes and muscles of mastication associated with some contrast enhancement.The visualized intracranial structures which include the posterior fossa are intact. The visualized orbits appear to be intact.The parotid and the submandibular glands appear intact.The carotid and vertebral vasculature visualized on this exam appears intact. There are mild disc bulges present in the cervical spine.The cervical vertebral bodies in general are intact with no evidence for canal stenosis.
There is an infiltrating lesion present centered in the right alveolar ridge which extends into the surrounding soft tissues including the right masticator space in the soft tissues superficial to the right maxillary sinus including the subcutaneous fat. It also involves the lateral wall of the right maxillary sinus. This is suspected to represent osteomyelitis and cellulitis.