case_images: PMC4073450_01
case_images: Diffuse swelling over right massetric region with loss of overlying skin creases, scar of incision along lower border of mandible suggestive of incision and drainage done 6 days back
case_images: AMS-4-103-g001.jpg
case_images: PMC4073450_01_AMS-4-103-g001.jpg
case_images: F1
case_images: The skin overlying the swelling had a taut and shiny appearance [Figure 1].
case_images: Orthopantamogram shows the presence of ill-defined radiolucency extending from sigmoid notch up to the lower border of mandible
case_images: AMS-4-103-g002.jpg
case_images: PMC4073450_01_AMS-4-103-g002.jpg
case_images: F2
case_images: The orthopantomogram revealed multiple carious teeth suspected to be the possible cause of infection [Figure 2].
case_images: Chest X-ray (postero-anterior view) demonstrates nodular opacity at the level of 5th and 6th rib with hilar prominence
case_images: AMS-4-103-g003.jpg
case_images: PMC4073450_01_AMS-4-103-g003.jpg
case_images: F3
case_images: This image is a coronal slice of contrast enhanced computed tomography scan showing heterogenous mass in the right middle lobe with tracheal deviation and adjacent lymphangitis carcinomatosis
case_images: AMS-4-103-g004.jpg
case_images: PMC4073450_01_AMS-4-103-g004.jpg
case_images: F4
case_images: Cellular aspirate of metastatic tumor showing atypical epithelial cells with altered nuclear:cytoplasmic ratio (H and E, x100)
case_images: AMS-4-103-g005.jpg
case_images: PMC4073450_01_AMS-4-103-g005.jpg
case_images: F5
case_images: Three dimensional reconstruction demonstrating destruction of buccal cortex over the right side ramus of the mandible
case_images: AMS-4-103-g006.jpg
case_images: PMC4073450_01_AMS-4-103-g006.jpg
case_images: F6
case_images: Coronal slices of computer tomographic scan showing perforation of buccal and lingual cortices with inhomogeneous mass extending into surrounding soft-tissue
case_images: AMS-4-103-g007.jpg
case_images: PMC4073450_01_AMS-4-103-g007.jpg
case_images: F7
case_images: Axial slices of computer tomographic scan showing perforation of buccal and lingual cortices with inhomogeneous mass extending into surrounding soft-tissue
case_images: AMS-4-103-g008.jpg
case_images: PMC4073450_01_AMS-4-103-g008.jpg
case_images: F8
case_images: Photomicrograph of lung lesion showing pulmonary squamous cell carcinoma (H and E, x100)
case_images: AMS-4-103-g009.jpg
case_images: PMC4073450_01_AMS-4-103-g009.jpg
case_images: F9