Presentation
Incidental finding during an oncology follow-up scan. The patient has breast carcinoma in remission.
Patient Data
There is an incidental dense intraoral foreign body. It appears circumscribed in the axial and sagittal planes and oblong in the coronal plane. There are perilesional gaseous locules.
In addition, there are incidental mental spines and tonsilloths.
The follow-up oncology CT scan is otherwise unremarkable.
Case Discussion
The patient has breast carcinoma in remission. Routine follow-up CT of the brain, neck, chest, and abdomen with contrast was requested and performed.
The limited images uploaded demonstrate an intraoral foreign body that was confirmed to be hard candy when questioning the patient.
Chewable intraoral foreign bodies are also known as comestibles 1. These include all types of hard and soft candies, chewable tobacco, and chewable betel leaves.
Due to the dense appearance of the comestibles, they may mimic bone, soft tissue, or vascular masses and may lead to unnecessary further imaging.
Based on the anatomical position and the appearance of a comestible, one can easily offer a misdiagnosis that includes the following 1:
pseudoaneurysm
varix
sialolith
oral cavity hemangioma
ectopic thyroid gland
hematoma
abscess
prosthesis
bone malformations
mandibular torus
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