Torus palatinus

Findings:
A calcified nodular bony protruberence with inward protrusion into the oral cavity is noted arising from the midline hard palate, specifically from the palatine process of the maxilla, measuring approximately 1 x 0.7 cm on the coronal images. The lesion is slightly more prominent on the right side. The lesion shows areas of lucency and cortical defects, likely presenting the biopsy site. No obvious associated soft tissue swelling, collection or abnormal enhancement. No periosteal reaction.

Vertically impacted and unerupted maxillary molars, projecting into the maxillary sinuses bilaterally. Mild mucosal thickening is seen in both maxillary sinuses, primarily odontogenic in nature. The paranasal sinuses are otherwise clear.
Nasal septal deviation to the left is seen.
The mastoid air cells and the middle ear cavities are unremarkable.

The imaged brain and the intracranial circulation are unremarkable. Fetal origin of the posterior cerebral arteries is noted bilaterally.

Conclusion:
Features are compatible with torus palatinus. No associated soft tissue abnormality.

Updated on 6. June 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.