A significant incidental finding on cone beam computed tomography: multiple myeloma

Area of Science:

• Oral and Maxillofacial Radiology
• Hematology
• Oncology

Background:

• Cone beam computed tomography (CBCT) is a standard imaging modality in modern dentistry.
• Incidental radiographic findings are frequently observed during routine dental examinations.
• Many incidental findings necessitate further investigation, intervention, or long-term monitoring.

Observation:

• A rare case of asymptomatic multiple myeloma was incidentally diagnosed.
• The initial detection occurred via cone beam computed tomography and panoramic radiography.
• The patient had no prior diagnosis or symptoms of the malignancy.

Findings:

• Multiple myeloma can present as an incidental finding on dental imaging.
• CBCT can reveal a diverse spectrum of pathologies beyond typical dental concerns.
• Thorough radiologic interpretation is crucial for identifying potentially life-threatening conditions.

Implications:

• Dental professionals must be vigilant for non-dental pathologies on radiographic images.
• Early detection of systemic diseases like multiple myeloma through dental imaging can improve patient outcomes.
• This case underscores the expanded role of dental imaging in systemic health surveillance.