Imaging Case of the Week 204 Answer

The facial x-rays show a left zygomatic arch fracture as shown below. This fracture causes clinical dish face deformity.

Left zygomatic arch fracture

Facial x-rays can be tricky to interpret. Following the Mcgrigor’s lines helps to identify the injured area. More details on the Mcgrigor’s lines can be found here

The above patient was referred to a maxillofacial surgeon for further management.