The symmetrical radiopacities marked with arrow are most likely:
On periapical radiographs of the mandibular central incisors, the mental ridge (protuberance) may occasionally be seen as two radiopaque lines sweeping bilaterally forward and upward toward the midline. They are of variable width and density and may be found to extend from low in the premolar area on each side up to the midline, where they lie just inferior to or are superimposed on the mandibular incisor roots. The image of the mental ridge is most prominent when the beam is directed parallel with the surface of the mental tubercle (as when using the bisecting-angle technique).
Ref: White and Pharoah, pg- 145
Genial tubercle
Mental ridges
Mylohyoid ridges
Both 1 and 2