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AJNR - American Journal of Neuroradiology

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Unique Imaging Findings in the Facial Bones of Renal Osteodystrophy

J. I. Chang^a, P.M. Som^b and W. Lawson^a

^a Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York
^b Department of Radiology, Mount Sinai Hospital, New York

View larger version (122K): [in this window] [in a new window]   Fig 1. Clinical photographs (A and B) show maxillary hypertrophy with convex palate and splayed dentition.

View larger version (95K): [in this window] [in a new window]   Fig 2. CT without contrast. Axial (A and B) and coronal (C and D) views. There is diffuse hypertrophy of the palate with extensive serpentine channels present throughout the entire maxilla bone and the anterior body and the symphysis of the mandible. The mandibular rami have a ground-glass appearance. There is virtually no cortical bone identified in the palate.

View larger version (108K): [in this window] [in a new window]   Fig 3. A Panorex film shows loss of lamina dura and eroded cortical bone.