Mandibular Osteomyelitis

Fig 1: Single axial CT scan of the mandible with bone windows showing periosteal reaction and sclerotic changes within the parasymphyseal mandible, concerning for acute osteomyelitis.

Fig 2: Single axial CT scan of the mandible in bone windows in the same patient 2 years later shows marked progression of sclerosis of the mandible with interval sequestrum formation. Additionally (not shown), there was fistulization to the oral cavity.