History swelling on the right side of face and neck for 6-8 months. The swelling has gradually increased in size and is associated with pain and dysphagia.
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A large mass involving the body of right hemimandible with an aggressive periosteal reaction resembling a 'sunburst' pattern pathognomic of osteogenic sarcoma. The lesion is predominantly sclerotic showing strong enhancement with extension into the right lingual and buccal spaces. The fat planes with the adjacent muscles namely pterygoid and masseter are lost. The lesion is causing a mass effect on the hypopharynx and oropharynx which correlates with the symptom of dysphagia.
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Features are suggestive of gnathic osteosarcoma.