Large mass on left side of face for one year. History of left lower tooth extraction one year back.
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There is a huge lytic lesion involving the mandible, the largest of its bulk is present around the left mandibular body and ramus. This is crossing the midline to involve the right mandibular body as well. This measures 115 X 140 mm. Expanded mandibular cortex is partly thickened and partly invisible. This lesion has internal multilocular cystic and solid enhancing components; large amount of the internal calcification is noted in the region of mental. A few of the involved teeth have resorption of their roots. Muscles at the floor of mouth are displaced with loss of fat planes where infiltration cannot be entirely ruled out.
Ameloblastomas typically occur as hard painless lesions near the angle of the mandible.