Lateral and frontal films demonstrate elongated styloid processes/stylohyoid ligaments. Otherwise normal study.
These initial films were interpreted by the treating emergency physician as representing a swallowed chicken bone. The patient therefore underwent a CT.
CT confirms elongated styloid processes/ossified stylohyoid ligaments. No other abnormality noted.
Case Discussion
This previously asymptomatic 40-year-old female with very long styloid processes/stylohyoid ligaments presented to the emergency department with dysphagia. The initial films were interpreted by the treating emergency physician as representing a swallowed chicken bone.
Fortunately for the patient, not only did she not have a swallowed bone, but she also did not chronically suffer from Eagle syndrome.
Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.