Tonsilloliths

Tonsilloliths are stones that form in the crypts of the palatal tonsils. Most patients with tonsilloliths are asymptomatic and the finding is made incidentally, as in the patient above (multiple coarse calcifications in the bilateral tonsils). However, large tonsilloliths may cause obstruction leading to infection with possible abscess formation. Thus, the presence of tonsilloliths, even if incidental, should be reported.


REFERENCES
Mody RN and Srivastava S. Bilateral multiple tonsilloliths. Oral Radiology 2009;25(1):67-70.