Intended for healthcare professionals

Endgames Spot Diagnosis

Jaw pain

BMJ 2016; 354 doi: (Published 22 September 2016) Cite this as: BMJ 2016;354:i4799
  1. H L Adams, specialty registrar, radiology1,
  2. D C Howlett, consultant radiologist2
  1. 1Brighton and Sussex University Hospitals, Brighton, UK
  2. 2Department of Radiology, East Sussex Healthcare NHS Trust, Eastbourne, UK
  1. Correspondence to: H L Adams h.l.adams{at}

A 67 year old man presented with a 3-4 month history of mild discomfort in his right jaw, which had suddenly worsened. He was unable to open his mouth fully. He had no history of trauma and he was known to have a history of cirrhosis.

What does the plain radiograph show (fig 1)?

Fig 1 Anteroposterior radiograph of facial bones


An aggressive looking bone lesion in the right mandible suggests a …

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