There may be remarkably few symptoms until cysts reach a large size, especially when the
ascending ramus
is involved.
Clinical examination revealed localized tenderness and diffuse swelling over the site of the right
pubic ramus.
Ramusmine all of bird including under tongue and under
rami of mandibles.
The posterior
primary ramus
then divides into 3 branches - medial, intermediate and lateral.
A technetium bone scan showed intense increased uptake at the right
superior pubic ramus
( figure 2 ).
The
posterior primary ramus
then divides into 3 branches - medial, intermediate and lateral.
On the left side the
inferior pubic ramus
is completely destroyed associated with a large soft tissue enhancing mass ( image 3 ).
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