Tonsillolith

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Incidental finding.

Patient Data

Age: 30 years
Gender: Male
ct

CT cervical spine due to trauma

Multiple small tonsilloliths (tonsillar concretions, tonsillar calculi )involving the right and left palatine tonsils.

 

Case Discussion

Recurrent episodes of inflammation may cause fibrosis at the openings of the tonsillar crypts, with microorganism and epithelial debris accumulation that leads to retention cysts formation then subsequent calcification.

Most palatine tonsilloliths are usually asymptomatic.

 

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