Figure 1

Radiographic findings of the head and neck in a 46-year-old woman with Gaucher disease. A. Panoramic radiograph demonstrating radiolucent or lytic lesions of the posterior mandibular, rarefaction of trabeculae, effacement of the mandibular canal and architecture of the antrum of the maxillary sinus with mild sinus opacification. B. Periapical X-rays from the region of the patient’s chief complaint demonstrating multiple relatively well-defined radiolucencies in the mandible with evidence of scalloping around teeth, corticated and curved peripheral margins in some areas, and minor root reabsorption. C. Cone-beam computed tomography scan of the mandible with coronal (left) and sagittal (right) reconstructions demonstrating the extent of the lytic lesion which cannot be appreciated with periapical films; enlarged marrow space, a multilocular appearance, and involvement of the periodontal ligament space with thinning and loss of lamina dura around the affected molars can be seen.