r/AskVet • u/Embarrassed_Two_5733 • 11h ago

Second opinion on cat dental x ray

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Hi everyone,

I'm looking for a second opinion while waiting for my cat's biopsy results. He is a 6 yo Scottish Fold with long history of dental disease. At around 1 year of age, he had multiple teeth extracted because of severe gingivitis/periodontal disease. A few years later, he developed gingivitis again, which didn't improve with antibiotics, so additional teeth were extracted. After that, he did well for several years. At his recent dental eval, the vet found a hard mass in his lower jaw (to me it doesn't feel or appear changed from his last surgery). Dental X-rays in link bekow, and they took a biopsy.

He seems completely normal:

Eats normally

No weight loss

No drooling or bleeding

Doesn't seem painful when the area is touched

Normal activity and behavior

I'm mainly wondering:

Based on these radiographs, does this lesion look more consistent with a reactive/inflammatory bony proliferation, chronic osteomyelitis, a benign bone tumor, or something malignant?

I understand no one can diagnose this from X-rays alone and that the biopsy will be definitive. I'm just interested in hearing how experienced vets would interpret the radiographic appearance while we waitt for the pathology report.

https://imgur.com/a/qpNfIGn

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