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Here are structured clinical notes based on the CT Face report:
CT Face Report Summary
Patient: Tulsiram Lodhi | Age/Sex: 34Y/M | Date: 01-05-2026
Study: CT Face 3D + CT PBH 3D | Ref By: Dr. Manish Jain
Clinical History: H/O Trauma
Findings
Mandible
- Oblique undisplaced fracture at the angle of mandible (left side) extending into the left mandibular ramus
- Oblique fracture of the body of mandible — right side
- Comminuted fracture of the left zygomatic arch
Soft Tissue
- Soft tissue swelling in the mandibular and left zygomatic region
TMJ
- Bilateral mandibular condyle and TM joint — normal
Paranasal Sinuses
- Bilateral paranasal sinuses — normal bony wall
- No bony erosion or destruction or fracture
- Ostia of bilateral maxillary antra and adjacent structures (OMU) — no obvious abnormality
Impression
| Structure | Finding |
|---|---|
| Left mandibular angle/ramus | Oblique undisplaced fracture |
| Right mandibular body | Oblique fracture |
| Left zygomatic arch | Comminuted fracture |
| Soft tissue | Swelling (mandibular + left zygomatic region) |
| TMJ bilateral | Normal |
| Paranasal sinuses | Normal |
Clinical Notes
- Note: Suboptimal evaluation due to movement artefact
- This is a polytrauma facial fracture pattern — likely from blunt facial trauma
- Involves 3 sites: right mandibular body + left mandibular angle/ramus + left zygomatic arch
- No intracranial extension or sinus involvement reported
- Referral consideration: Oral & Maxillofacial Surgery (OMFS) for fracture management
Reported by Dhanvantari Diagnostic & Imaging Centre, Sagar (M.P.)
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