高雄醫學大學附設中和紀念醫院口腔病理診斷科 X 光報告單 患者姓名：張 XX 歷號碼：02XX17XX 性別：M 年齡：66 送檢醫師：陳昭明醫師 攝影日期：960806 報告日期：960827 臨床診斷：Radicular cyst or periodontal cyst in the apex of the teeth 13
and 14
攝影方式： □ periapical
□ cephalometry
□ others
■ panoramic
□ occlusal
□ TMJ view
□ sialography
X 光診斷：(1) Lateral radicular cyst in the apex of the teeth 13 and 14 (2) Peri-apical granuloma in the apex of the teeth 13 and 14
(3) Chronic periapical abscess or periodontitis in the apex of the teeth 13 and 14
(4) Stafne’s cyst in the lower left cortical border near mandibular angle (5) Periapical granuloma in the apex of the teeth 44 and 45
Main X-ray findings：
There are two solitary well-defined non-corticated unilocular radiolucent shadows; one is located in the mesial surface of the apex of the tooth 14, measured about 0.2 X 0.5 cm in maximum diameter;
another is located in the mesial surface of the middle root of the tooth 13, measured about 0.5 X 1.0 cm in maximum diameter. Lamina dura of tooth 12 is disappeared due to the radiolucency of the tooth 13.
In the apex of the teeth 44 and 45 reveal two radiolucent shadows and there is a well-defined unilocular radiolucent image with corticated border in the lower left cortical border near mandibular angle beneath the left inferior alveolar canal, measured about 1.0 X 0.6 cm in maximum diameter. The adjacent structures reveal normal.
Sinus: normal, no crowding and air-fluid level.
Condyle: flattening and thinning in the right condylar head, but the surface is smooth.
Dental findings：
□ tooth abnormality:
■ caries: 13, 21, 22, 45
□ periodontal condition:
□ calculus:
■ missing tooth: 15, 18, 25, 26, 27, 28, 33, 35, 36, 38, 46, 48.
■ endodontic condition: 11, 13, 14, 16, 34, 44.
■ restoration (e.g. C & B): 14X16, 17, 2324X (cantilever bridge), 32X34, 37, 4445X47, RPD (between 34 and 37).
■ filling (e.g. amalgam): 11, 12, 13, 21.
■ residual root: 45.
■ others: post and core: 34.
Clerk：
Intern： 郭芳嘉 Resident：陳靜怡醫師 V.S.： 林立民醫師 陳玉昆醫師 王文岑醫師 Index： 201 - 853 - 661
