Radiology · single question

Multiple 'punched-out' radiolucencies throughout the jaws on panoramic radiograph. Name of this pattern?

Soap bubble pattern
Punched-out radiolucencies
Cotton wool appearance
Salt and pepper pattern

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Correct answer: B. Punched-out radiolucencies

Multiple PUNCHED-OUT radiolucencies (well-defined, round, corticated holes) = classic pattern of MULTIPLE MYELOMA. Cotton wool = Paget's disease. Soap bubble = Odontogenic myxoma. Salt/pepper = Hyperparathyroidism.

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