An aggressive process is centred on the right mandibular body, centred inferior to the extracted 45 tooth. Cortical breach and periostitis are noted. There is enhancing tissue extends through the cortical breach on both the buccal and lingual surfaces with surrounding ill-defined contrast enhancement. Abnormal low T1 bone marrow signal extends to the 33 and to the angle of the mandible on the right.
Incidental note is also made of a thyroglossal duct cyst located in the midline at the anterior aspect of the hyoid bone.