Radiology · single question

A panoramic radiograph shows a large anterior mandibular radiolucency with a corticated (radiopaque) border. Which lesion is most consistent with this appearance?

  1. Ameloblastoma
  2. Central giant cell granuloma
  3. Traumatic (simple) bone cyst
  4. Periapical (radicular) cyst
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Correct answer: B. Central giant cell granuloma

A central giant cell granuloma commonly presents in the anterior mandible (often crossing the midline) as a well-defined radiolucency, frequently in younger patients, matching this anterior corticated lesion.Other options: Ameloblastoma typically favors the posterior mandible with a soap-bubble multilocular pattern. A traumatic bone cyst classically scallops between roots and lacks a thick cortical rim. A radicular cyst is associated with a non-vital tooth apex.Key exam takeaway: Anterior mandibular radiolucency crossing the midline in a younger patient favors central giant cell granuloma.

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