A 39-year-old man came to an oral and maxillofacial surgery office for evaluation of a lesion in the left maxilla. The patient’s general dentist referred him after a radiolucency within the posterior maxillary left quadrant was noted on a routine panoramic radiograph. He had no symptoms and denied pain or swelling in the area of the lesion. The patient reported a history of tooth extraction in the area many years ago. Medical, family, and social histories were noncontributory. Extraoral head and neck examination was unremarkable, with no evidence of adenopathy, palpable masses, or facial asymmetry, and cranial nerves were grossly intact.