case_images: PMC9106228_01
case_images: The mixed radiopacity lesion rising from the buccal aspect of the right parasymphyseal region is evident on this mandibular true occlusal radiograph, with an ill-defined periphery
case_images: JOMFP-26-129b-g001.jpg
case_images: PMC9106228_01_JOMFP-26-129b-g001.jpg
case_images: F1
case_images: The mandibular true occlusal radiograph [Figure 1] demonstrates a calcified, slightly multilocular appearing lesion arising from the buccal cortex of the mandible in the right parasymphyseal region.
case_images: Panoramic radiograph. No obvious odontogenic or bony pathology is noted
case_images: JOMFP-26-129b-g002.jpg
case_images: PMC9106228_01_JOMFP-26-129b-g002.jpg
case_images: F2
case_images: Although this lesion was not readily apparent on the panoramic radiograph, it did serve to help steer the differential diagnoses away from odontological causes [Figure 2].
case_images: Low-power view photomicrograph demonstrating islands of mature lamellar bone scattered amongst the fatty tissue component
case_images: JOMFP-26-129b-g003.jpg
case_images: PMC9106228_01_JOMFP-26-129b-g003.jpg
case_images: F3
case_images: There are multiple foci of osseous metaplasia showing trabeculae of remodeling bone, focally incorporating loose fibrofatty tissue with no evidence of hematopoietic cells [Figure 3 and 4].
case_images: High-power photomicrograph demonstrating mature adipose tissue and lobules of adipocytes
case_images: JOMFP-26-129b-g004.jpg
case_images: PMC9106228_01_JOMFP-26-129b-g004.jpg
case_images: F4
case_images: There are multiple foci of osseous metaplasia showing trabeculae of remodeling bone, focally incorporating loose fibrofatty tissue with no evidence of hematopoietic cells [Figure 3 and 4].