TMJ can be difficult to diagnose. This patient had classic symptoms and also classic thermographic findings consistent with TMJ which helps to confirm a diagnosis.
The majority of suspicious findings are benign but it is important to identify anything that needs further investigation or to be monitored more closely until there are findings that can be used in the decision making process. The hyperthermic findings in this breast did not cause concern in conjunction with the history and clinical information relating to symptoms. These findings were consistent with this patients mastitis.
The results of this routine study led to the diagnosis of inflammatory carcinoma in the right breast. There were no clinical indications at this stage. (Thermography can show significant indicators several months before any of the clinical signs of inflammatory breast disease, skin discoloration, swelling and pain). Inflammatory breast disease cannot be detected by mammography and is most commonly seen in younger women, the prognosis is always poor. Early detection provides the best hope of survival.