Odontogenic myxoma of maxillary sinus: CT and MR-pathologic correlation

We showed the characteristic features of odontogenic myxoma in the maxillary sinus with computed tomography (CT), magnetic resonance imaging (MRI), and histopathological findings. CT images showed a multilocular soft tissue mass with bone destruction and thinning, and the characteristic finding of this lesion as strands of fine lacelike density. MRI revealed intermediate signal intensity on T1-weighted image and high signal intensity on T2-weighted image. MRI showed the erosive extent of the lesion into the adjacent structures. In contrast T1-weighted image, the peripheral portion of the lesion with a relatively large quantity of collagen bundles was enhanced, while the central portion with only mucoid component was not. The CT and MRI appearances correlated well with the histologic features and therefore were considered to be a useful tool for diagnosis of myxoma.