Background: Styloid process (SP) is an anatomical structure whose elongation is not well understood. Proper clinical and radiological assessment is needed to detect an elongated SP. Anatomical variation is also common. SP is said to be elongated if longer than 30 mm. Orthopantomogram (OPG) is also an imaging modality by which we can view SP. Objective: The objective of this study was to assess the SP on OPG and identify eagle syndrome. Materials and Methods: The study was conducted on archived OPG radiographs available in the Department of Oral Radiology, Gandaki Medical College Teaching hospital and Research Centre. These radiographs were from patients who were subjected to radiographic examination for other dental problems. The length of SP was measured on both sides using the measurement tool bars on the accompanying analysis software. Results: Average length of SP on males was 26.5 mm ±14.4 mm in right and 25.5 mm ±6.19 mm in left; and on females was 23.78 mm ±5.93 mm on right and 24.7 mm ±10.44 mm in left. Elongated SP was more on males compared to females. Elongated styloid process (ESP) was more prevalent in 21 - 30 years of age group, similarly unilateral and bilateral elongation was also predominant on males compared to females. Conclusion: OPG is also useful for detection of an ESP in patients with or without symptoms and helps to avoid misdiagnosis of tonsillar pain or pain of dental, pharyngeal or muscular origin as well as Eagle syndrome (ES).

Mollities ossium is softening of bone because of osteomalacia or rickets.This is either because of non utilization of available calcium,phosphate and vitamin D or because of resorption of bony calcium.Metabolism disturbances lead to deficient bone minerilisation.Rickets is the name of osteomalacia in adults which can also be named as adult rickets. We present a12-years old girl who presented with almost crippling effects of the entity.She was radiologically diagnosed of this pathology which was later confirmed with biochemical parameters.DEXA (Dual Energy X-ray Absorptiometry ) scan was helpful tool for categorizing the grading of the osteopenia.The case was of more academic importance as the features were overlapping between pediatric and adult age group.General radiography played a pivot role in eliciting the various findings relavent to the pathology.

Sjogren's syndrome is a part of the disease where moisture producing glands are affected by auto immune disease. There is variety of symptomatology depending upon the type and extent of the involvement of the underlying glands. There is dryness of the mouth when salivary glands are involved and dryness of the eyes when lachrymal glands are affected. We present 43-years old female who had subclinical and confusing symptomsof swelling and dryness of mouth. The radiological evaluation by ultrasound (US),non contrast computerized tomography (NCCT), contrast enhanced computerized tomography (CECT ) and magnetic resonance imaging (MRI) studies clinched the diagnosis along with the background of clinical spectrum.

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