A 57-year-old male is brought to the hospital with a severe jaw pain. Upon further asking questions, the patient reports a history of three-day right jaw pain. Moreover, he also reports difficulty in opening his mouth. Going through the patient’s past medical records, the doctor noticed that the patient had two distinct malignancies. Past medical records First malignancy: Right palatine tonsil and right oropharynx.

It was treated with selective right neck dissection, radiation and partial right pharyngectomy, and radiation. Second malignancy:  Neoplasm of the right lateral tongue. It was treated with partial glossectomy and radiation. A positron emission tomography (PET)/ computed tomography (CT) of the patient (taken two months before) revealed increased fluorodeoxyglucose in the right mandible (maximum standard uptake: 5.7). Imaging And Finding:    A CT of maxofacial during the time…