Dr. Kevin Connor presents this month’s oral pathology case: A healthy 21-year-old female presents to the dental office referred from her primary-care physician for evaluation of a “lump” under her tongue that has been present for about two months. The lump has been very slowly growing, totally asymptomatic. The patient did say she noticed it “popped” at one time, but it came back a few weeks later. The physician thought it merited a further evaluation from a dental professional. The physical exam showed a 2.5 cm painless, fluctuant mass under the left ventral portion of her tongue.