Radiology · single question

A panoramic radiograph shows a radiolucent lesion associated with an impacted third molar. What is the most likely diagnosis?

  1. Adenomatoid Odontogenic Tumor (AOT)
  2. Dental Follicle
  3. Ameloblastoma
Show answer and explanation

Correct answer: B. Dental Follicle

✓ B) Dental Follicle is correct.
The dental follicle (pericoronal space) normally appears as a 2–3 mm radiolucent halo around the crown of an impacted tooth — this is the normal follicular space and does not represent pathology. A follicular space exceeding 5 mm suggests a dentigerous cyst or other pathology. AOT and ameloblastoma are also pericoronal but have more specific features (AOT = 'snowflake' calcifications; ameloblastoma = multilocular 'soap bubble' pattern or larger unilocular). In a normal pano, this halo = follicle.

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