This image depicts a {{c1::corticated sclerotic}} radiolucency because it has a {{c2::non-uniform, wide border}}
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{{c1::Apert syndrome, aka acrocephalosyndactyly}} is an autosomal dominant disease that is characterized by ocular proposes, cleft/soft palate/bifid uvula, facial hypoplasia and syndactyly of 2nd, 3rd, 4th fingers and toes.
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The onion skinning radiographic pattern is seen in {{c1::proliferating periostitis}}