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Tonsilloliths on Panoramic — NDEB AFK MCQ

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ModerateRadiology & ImagingTonsilloliths on PanoramicNDEB AFK

A dentist discovers an incidental finding of bilateral tonsilloliths on a panoramic radiograph. These appear as which of the following?

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Correct answer: D — Small, multiple, well-defined radiopacities superimposed on the mid-ramus region

Tonsilloliths (tonsillar calcifications) appear on panoramic radiographs as small (1-5 mm), multiple, well-defined radiopacities superimposed on the mid-ramus area or just medial to the mandibular angle. They must be differentiated from sialoliths (submandibular), phleboliths, calcified lymph nodes, and carotid artery atherosclerotic calcifications. They are usually incidental findings and rarely require treatment unless symptomatic.

Reference: White & Pharoah – Oral Radiology: Principles and Interpretation, 8th ed., 2019