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  <page number="1">
    <text>&amp;lt;OPG X-Ray of Maxilla and Mandible&amp;gt;
```html
&amp;lt;div style=&amp;quot;position: relative; bottom: 0px; right: 0px; width: 100%;&amp;quot; data-theme-color=&amp;quot;#d8d8d8&amp;quot;&amp;gt;&amp;lt;span style=&amp;quot;position: absolute; left: 50%; bottom: 0px; transform: translate(-50%, 0%); background-color: white; text-align: center; font-weight: bold; font-family: Helvetica; font-size: 18px; padding: 0px; border-radius: 2px;-webkit-border-radius: 2px;-moz-border-radius: 2px; box-shadow: 0px 1px 3px 0px rgba(0, 0, 0, 0.34); display: flex; justify-content: center; align-items: center; height: 70px; width: 50%;&amp;quot;&amp;gt;OPG 1&amp;lt;/span&amp;gt;&amp;lt;/div&amp;gt;
```

![](W4.2 OPGs_figures/img_16344bc137105145.webp)</text>
    <formatted_text>#### Radiographic Imaging

- OPG X-Ray of Maxilla and Mandible</formatted_text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_16344bc137105145.webp">
        <description>An OPG X-Ray of the Maxilla and Mandible showing the full dental arch. The image includes overlaid text &amp;apos;OPG 1&amp;apos; in red and orientation markers &amp;apos;R&amp;apos; and &amp;apos;L&amp;apos;.</description>
      </img>
    </images>
  </page>
  <page number="2">
    <text>![](W4.2 OPGs_figures/img_8fcc8db1a5f74ba3.webp)</text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_8fcc8db1a5f74ba3.webp">
        <description>A panoramic dental radiograph of the maxilla and mandible, displaying the dental arches with clear visibility of the upper and lower teeth.</description>
      </img>
    </images>
  </page>
  <page number="3">
    <text>![](W4.2 OPGs_figures/img_3ed08bbbf7a912f8.webp)</text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_3ed08bbbf7a912f8.webp">
        <description>An Orthopantomogram (OPG) radiograph showing the dentition and maxillary/mandibular bone structures, with the label &amp;apos;OPG 3&amp;apos; at the bottom.</description>
      </img>
    </images>
  </page>
  <page number="4">
    <text>### OPG 4

&amp;lt;figure&amp;gt;
&amp;lt;img src=&amp;quot;OPG_4.jpg&amp;quot; alt=&amp;quot;OPG 4&amp;quot;/&amp;gt;
&amp;lt;figcaption&amp;gt;
Figure 1: OPG 4
&amp;lt;/figcaption&amp;gt;
&amp;lt;/figure&amp;gt;

![](W4.2 OPGs_figures/img_996db7418a464a01.webp)</text>
    <formatted_text>#### Radiographic Presentation

The orthopantomogram (OPG) displays the complete maxillofacial structure, including the maxillary and mandibular dental arches, the mandibular ramus, and the temporomandibular joints.</formatted_text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_996db7418a464a01.webp">
        <description>Radiographic image labeled &amp;apos;OPG 4&amp;apos; situated at the bottom, displaying a full view of the jaw and teeth structures.</description>
      </img>
    </images>
  </page>
  <page number="5">
    <text>[Image description only]  
An orthopantomogram (OPG) X-ray of the maxillofacial region showing the upper and lower dental arches, mandibular ramus, maxilla, temporomandibular joints, and surrounding bony structures. Radiopaque restorations are visible in several posterior teeth.

![](W4.2 OPGs_figures/img_7ef3ae5e13ea1fc0.webp)</text>
    <formatted_text>#### Radiographic Observations

- **Dental Status**: The X-ray shows both upper and lower dental arches with several radiopaque restorations present in the posterior teeth.
- **Anatomical Structures**: Clear visualization of the following areas:
  - Mandibular ramus
  - Maxilla
  - Temporomandibular joints
  - Surrounding bony structures</formatted_text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_7ef3ae5e13ea1fc0.webp">
        <description>An orthopantomogram (OPG) X-ray of the maxillofacial region showing the upper and lower dental arches, mandibular ramus, maxilla, temporomandibular joints, and surrounding bony structures. Radiopaque restorations are visible in several posterior teeth.</description>
      </img>
    </images>
  </page>
  <page number="6">
    <text>&amp;lt;div style=&amp;quot;text-align: center;&amp;quot;&amp;gt;
&amp;lt;big&amp;gt;&amp;lt;b&amp;gt;OPG 6&amp;lt;/b&amp;gt;&amp;lt;/big&amp;gt;
&amp;lt;/div&amp;gt;

![](W4.2 OPGs_figures/img_438eb97dbc09f0fa.webp)</text>
    <formatted_text>#### Case Analysis

This section contains the radiographic imaging for Case Six. Detailed clinical findings and anatomical assessments are documented in the subsequent pages of this series.</formatted_text>
    <images>
      <img bbox="0,0,1000,900" type="photo" path="W4.2 OPGs_figures/img_438eb97dbc09f0fa.webp">
        <description>A panoramic X-ray of a human jaw labeled &amp;apos;OPG 6&amp;apos; in red text at the bottom center (approx. 5.5% and 4% height/width). The image displays dental roots, alveolar bone, and maxillary sinuses, identifying it as a medical radiograph rather than a standard photo.</description>
      </img>
    </images>
  </page>
  <page number="7">
    <text>![](W4.2 OPGs_figures/img_881455ee274e60d8.webp)</text>
    <formatted_text>#### Continued Assessment

[Content intentionally left blank or continues from previous page based on source material]</formatted_text>
    <images>
      <img bbox="0,0,1000,998" type="photo" path="W4.2 OPGs_figures/img_881455ee274e60d8.webp">
        <description>This is a wide-field panoramic dental X-ray, labeled &amp;apos;OPG 7&amp;apos; in red text at the bottom left. The image reveals the entire dental arch and surrounding skeletal structures, including the maxillary sinuses and temporomandibular joints. Detailed observation of the teeth shows the full set of tooth roots and crowns.</description>
      </img>
    </images>
  </page>
  <page number="8">
    <text/>
    <formatted_text>#### Final Observations

[Content intentionally left blank or concludes the case based on source material]</formatted_text>
  </page>
  <page number="9">
    <text>Departments of Radiology and Radiography, UChicago Fellowship
*Ani Manoharan*, MD, MS, Image-in-Context
*Published: 2/21/23*

Fellowship Website: [https://dicrd.uchicago.edu](https://dicrd.uchicago.edu)

![](W4.2 OPGs_figures/img_bcdcf939524de339.webp)</text>
    <formatted_text>#### Institutional Affiliation
- Departments of Radiology and Radiography, UChicago Fellowship

#### Authorship and Publication
- **Author:** Ani Manoharan, MD, MS, Image-in-Context
- **Published:** 2/21/23

#### Digital Resources
- Fellowship Website: https://dicrd.uchicago.edu</formatted_text>
    <images>
      <img bbox="0,60,1000,990" type="photo" path="W4.2 OPGs_figures/img_bcdcf939524de339.webp">
        <description>An Orthopantomogram (OPG) X-ray image labeled &amp;apos;OPG 9&amp;apos; showing the full dentition and maxillofacial bone structures. The image, from a &amp;apos;DICRDS Fellowship&amp;apos; context, demonstrates malocclusion characterized by severe crowding in both arches and an anterior crossbite, indicated by the chin thrust forward.</description>
      </img>
    </images>
  </page>
  <page number="10">
    <text>&amp;lt;details&amp;gt;&amp;lt;summary&amp;gt;{{Click here to view full-size image}}&amp;lt;/summary&amp;gt;&amp;lt;img src=&amp;apos;{{567b46b0-1639-427b-809c-6d6d4c89696a.png}}&amp;apos; alt=&amp;apos;{{X-ray of the skull (OPG 10)}}&amp;apos;&amp;gt;&amp;lt;/details&amp;gt;

&amp;gt; &amp;lt;!-- markdown-toc:start - Do not edit or delete --&amp;gt;
&amp;gt;
&amp;gt; **OPG 10**
&amp;gt;
&amp;gt; &amp;lt;!-- markdown-toc:end --&amp;gt;

X-ray of the skull

![](W4.2 OPGs_figures/img_d4dce5252f40eeed.webp)</text>
    <formatted_text>#### Radiographic Overview

- **OPG 10**: X-ray of the skull</formatted_text>
    <images>
      <img bbox="0,0,1000,1000" type="photo" path="W4.2 OPGs_figures/img_d4dce5252f40eeed.webp">
        <description>X-ray of the skull (OPG 10) displaying the dental arches and maxillary sinus.</description>
      </img>
    </images>
  </page>
  <page number="11">
    <text>![](W4.2 OPGs_figures/img_d80ed97e6519a18d.webp)</text>
    <images>
      <img bbox="1,2,993,992" type="photo" path="W4.2 OPGs_figures/img_d80ed97e6519a18d.webp">
        <description>An Orthopantomograph (OPG) X-ray of a patient&amp;apos;s entire jaw, labeled with red text &amp;apos;OPG 11&amp;apos;. The image displays a panoramic view of the maxillary and mandibular dental arches, including multiple natural teeth, metallic restorations, and a root canal-treated molar.</description>
      </img>
    </images>
  </page>
  <page number="12">
    <text>![](W4.2 OPGs_figures/img_a369fc71f98be973.webp)</text>
    <images>
      <img bbox="50,25,950,925" type="photo" path="W4.2 OPGs_figures/img_a369fc71f98be973.webp">
        <description>This is a Panorex (OPG) dental radiograph labeled &amp;apos;OPG 12&amp;apos;. The image displays the complete maxillary and mandibular arches, including the teeth and surrounding bone structure, with orientation markers &amp;apos;R&amp;apos; and &amp;apos;L&amp;apos; at the bottom corners.</description>
      </img>
    </images>
  </page>
  <page number="13">
    <text>`&amp;lt;img src=&amp;quot;path/to/image.jpg&amp;quot; alt=&amp;quot;OPG 13: Panoramic dental radiograph&amp;quot; /&amp;gt;`

![](W4.2 OPGs_figures/img_4350d89153d54420.webp)</text>
    <images>
      <img bbox="28,57,989,924" type="photo" path="W4.2 OPGs_figures/img_4350d89153d54420.webp">
        <description>Panoramic dental radiograph labeled &amp;apos;OPG 13&amp;apos; showing a full view of the upper and lower jaw, including the second mandibular molar with a periapical radiolucency.</description>
      </img>
    </images>
  </page>
  <footnotes>[^1]: Original PDF page 1: [[W4.2 OPGs.pdf#page=1|W4.2 OPGs, p.1]]
[^2]: Original PDF page 2: [[W4.2 OPGs.pdf#page=2|W4.2 OPGs, p.2]]
[^3]: Original PDF page 3: [[W4.2 OPGs.pdf#page=3|W4.2 OPGs, p.3]]
[^4]: Original PDF page 4: [[W4.2 OPGs.pdf#page=4|W4.2 OPGs, p.4]]
[^5]: Original PDF page 5: [[W4.2 OPGs.pdf#page=5|W4.2 OPGs, p.5]]
[^6]: Original PDF page 6: [[W4.2 OPGs.pdf#page=6|W4.2 OPGs, p.6]]
[^7]: Original PDF page 7: [[W4.2 OPGs.pdf#page=7|W4.2 OPGs, p.7]]
[^8]: Original PDF page 8: [[W4.2 OPGs.pdf#page=8|W4.2 OPGs, p.8]]
[^9]: Original PDF page 9: [[W4.2 OPGs.pdf#page=9|W4.2 OPGs, p.9]]
[^10]: Original PDF page 10: [[W4.2 OPGs.pdf#page=10|W4.2 OPGs, p.10]]
[^11]: Original PDF page 11: [[W4.2 OPGs.pdf#page=11|W4.2 OPGs, p.11]]
[^12]: Original PDF page 12: [[W4.2 OPGs.pdf#page=12|W4.2 OPGs, p.12]]</footnotes>
</document>
