Progressive bilateral cheek swelling.
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There is an expansive and lytic process affecting the maxilla and mandible in its entirety with preservation of the mandibular condyles. Inside the process, there’s a trabecular bony pattern with a “Bubble soap” appearance.
The volume rendering images beautifully represent these characteristics.
Cherubism is an autosomal dominant disease with 100% penetrance in males. The boy's father has cherubism.
It's considered to be a variant of fibrous dysplasia, but histopathologically it is same as a giant cell granuloma.