what can be this radioopaque lesion? The patient is 11 years | Figure 1

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What can be this radioopaque lesion?

The patient is 11 years old

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6 YOM casually tells parents this has come and gone a few times. Denies pain. Kid is rather hyperactive but not on medication. Contact with several pets. Family history of Ankylosing Spondilitis. please advise:

  1. Should we biopsy?
  2. Trial treatment?](https://app.figure1.com/case-detail/0ddf58ce-7631-4987-8b37-1f602b4bff48)

patient referred after orthodontist tried to do RCT and searched the mesial canals until he reached the bone. Send the patient telling him the canals are calcified (the bone is pretty hard :)) ) trying to save the situation, after doing the RCT i did a premolarisation(luckilly the perforation was exactly on the premolarisation line) Taking into account the margins after premo were supragingival, we did separate crowns, with only metal in between, for proper hygiene. Whats your long term prognosis.

pt presents 6 days post op following an extraction from another dentist.](https://app.figure1.com/case-detail/24099071-e077-41b3-a7db-dd8c9fa0bb7a)

68 y/o WF. Incidental findings of speckled radio-opacities on right and left maxillary PA radiographs. Different sensor and tube head employed on each side to rule out problems with radiographic equipment. Panoramic image unremarkable but shared for comparison. Any suggestions towards a differential diagnosis much appreciated.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?