Panoramic radiographs, combined with clinical examinations, are commonly used as an aid to diagnosis and treatment of patients who require dental care. The aim of this study was to determine the prevalence of incidental findings and their characteristics in panoramic radiographs performed in patients treated at a radiology center of the city of Medellín in 2008 and 2009. A total of 228 analyzed standard radiographs obtained on Mondays, Wednesdays and Fridays during the years 2008 and 2009, these were analyzed by researchers who were previously calibrated by the radiologist’s diagnostic aid center. Of the 228 radiographs evaluated 219 (96%) had some kind of disturbance or pathology, dominated most sinus disorders with 56%, followed by 52% hypertrophic turbinates, deviated nasal septum with 42% and more frequent dental alterations the position and structure of 53.5% and 35.5% respectively. With this study we can conclude that the clinical staff to analyze a panoramic radiograph should be aware of the possibility of early detect abnormalities and diseases that in some cases, no clinical evidence it is also necessary to note that during the performance review Radiographic the professional should follow a protocol to not ignore any structure or area evident in the radiograph, it knew of the normality of the structures to allow any type of abnormality detected easily.