What is the main feature of Paget’s Disease as observed in imaging?

The primary feature of Paget's Disease in imaging is indeed characterized by changes that can be visually pronounced in the jaws, including swelling. Paget's Disease, also known as osteitis deformans, affects the normal cycle of bone renovation, leading to the abnormal formation of bone that can manifest as increased size and irregularities.

In imaging studies, particularly panoramic radiographs or CT scans, the enlarged and distorted appearance of the mandible and maxilla may be seen, often leading to swelling of the jaws. This enlargement occurs due to the excessive but disorganized bone remodeling process, which is a hallmark of the disease.

While there may be various associated features such as bone density changes, periapical issues, or mineralization patterns, the distinctive and observable aspect in Paget's Disease is typically this pronounced swelling seen in jaw structures, which can influence both clinical diagnosis and the management of the condition.