1. Overall Classification: UNCLASSIFIED//REL TO NATO/ISAF

2.  Clinical examination  Signs  Symptoms  Ordering the right type of imaging examination  Ordering the right number of imaging examination  Necessary vs unnecessary examinations  Benefit to the patient

3.  Viewbox  Monitor  Prints  Ambient light reduced  Quiet room  Intraoral films mounted on a opaque holder  Equal intensity of light on the view box  Monitors: calibration  Magnification  Software limitations

4.  Intraoral images ◦ Teeth, periodontium, bone, adjacent structures ◦ Tooth #1 to #16, and then #17 to #32  Extraoral images; ◦ Panoramic, other extraoral plain radiographs  Cross sectional images ◦ CT, MRI

5.  How many lesions?  Where is the lesion?  Localized vs generalized  Single arch or both the arches  Inside the bone or outside  Relation to the crown  Relation to the root  Superior to the mandibular canal

6.  Well defined or ill defined?  Sharp margins  Corticated margins  Sclerotic margins  Radiolucent band  Blends into adjacent area  Irregular margins

7.  Circular  Oval  Scalloped  Multilocular

8.  Radiolucent  Mixed  Radiopaque  Trabeculation  Septa  Calcifications  Tooth or similar entities

9.  Teeth  Lamina dura  Crestal bone  Periodontal spaces  Alveolar bone  Nerve canals  Maxillary sinuses  Cortical bones

10.  Speak out loudly  List it down  Compare findings in different images  Clinical information

11. Radiographic findings Abnormal DevelopmentalAcquiredCysts Tumors (benign/malig) InflammatoryBone dysplasiaVascularMetabolicTrauma Normal

12.  You have not clinically / radiographically evaluated the patient  No benefit to the patient  Additional images may not provide extra information  No ‘routine’ radiograph

13.  Patient, doctor, clinic identification  Date, type and number of examination  Reasons for the examination  Clinical information  Relevant observation  Radiographic Impressions  Any further tests, examinations

14. Overall Classification: UNCLASSIFIED//REL TO NATO/ISAF