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Neck Ultrasonography on November 8, 2016

Results:
Right and Left Thyroid Lobe are in normal size.
There are no appearances of focal lesion and calcification. Ishtmus of Thyroid is not
thickening.
There are no focal lesions on left and right submandibular gland. Left and right parotid gland
dont have any focal lesions.
Based on the picture, It is seen a partial enlargement without hilar central on bilateral coli
region and bilateral submandibular region, with the dimension of 1.7 x 0.7 cm under right
submandibular.

CT Scan of Maxilla on November 3, 2016

Results:
Based on the picture, It appears that a loculated lytical lesion destructs right maxilla cortex
with internal density lesion of HU 33-68(benign mass tissue) with the dimension of
5,6x4,7x4,6 cm. The mass seems widen the edge of right nasal septum, reaching cutical and
subcutical nasal region and eroding the medial wall of right maxillar sinus. Nasal septum
seems intact.
It is seen a lesion in the upper part eroding the right dental root bone. The dental area which
are eroded are 1,2,3,4,5.
It views multiple lymph node on left submandibular region and both right and left colli region
with the biggest short axis measurement of 1 cm
There are no defects on larynx and nasopharynx cavity
Parotid gland, Submandibular gland, and bilateral thyroid gland are within normal limit
Right bilateral orbit doesnt show any abnormalities.

Results:
The picture shows expansile lytical lesion on the right maxilla with cortex destruction,
erotion of dental root on right upper jaw accompanied by benign mass inside which
expanding throughout right nasal cavity and cutical and subcutical nasal regio. Is
Ameloblastoma a differential diagnosis?

MSCT Scan Maxilla on November 29, 2016


Results
Thepicturestillshowslyticalexpansilemass,penetratingheterogenouslyafterbeinggivena
contrast,lobulatingwithsizeof10,4x12x10,8cm(5,6x4,7x4,6before)intheright
sideofmaxillarboneespecially.Themassloaditselfintonasalcavitywithintherightside
predominantly,rightmaxillarsinus,rightethmoidsinus,protrudingtotherightsideoforis
cavity,pushingthebaseinferoposteriorlyandnarrowingthebothchoanaandoropharyngeal.
Themassalsoextendsanteriorlybyreachingsubcuticalandcuticalsuperiororbicularisoris
muscle.Themassdestructsrightandleftmaxilla,halfofnasalseptum,erodesanddestructs
halfofhardpalateaswellasinferiorandmedialrightchoncha.

Itlookslikemultiplelymphnodesonleftsubmandibularandrightandleftregiowiththe
largestsizeof1,5x0,8cmonrightlevelII
RossenmullarFossaandbilateralTorusTobariusarestillmarkedlyidentified.
NGTissetwithaccesstoleftnasalcavity
Parotidglandandbilateralsubmandibularglanddontshowanyabnormalities
Bilateralorbitcavitydoesntshowanyabnormalities
Loculationsareseenonleftmaxillarysinus

Conclusion:
ComparetotheCTScanonNovember3,2016,thepresentresultsare:
-

The maxilla mass, on the right side predominantly, widens in size, destructing

surroundingbone
Multipecollilymphadenopathyisrelativelystable
Leftmaxillarysinusitis.