Dental abscess extending into the submandibular space

Case contributed by Frank Gaillard
Diagnosis probable
Sagittal
bone window
Coronal
non-contrast
This study is a stack
Axial C+
delayed
This study is a stack
Axial bone
window
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Info

Periapical lucency extending through the mandible inferiorly into the soft tissues of the submandibular space. On post-contrast images there is a peripherally-enhancing fluid collection in keeping with an abscess. 

Case Discussion

Submandibular space abscess as a result of a dental abscess with a sinus tract through the mandible

The classic imaging differential is that of a necrotic floor of mouth squamous cell carcinoma. 

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