Tonsil calculi in the orthopantomography image

Tonsilloliths are calcifications within the tonsillar crypts. Affected are especially the palatine tonsils. The prevalence is ranging between 16 and 46.1%. Tonsilloliths can be the reason for chronic halitosis, irritating cough, dysphagia, otalgia, foreign body sensation or foul taste in the mouth. They are often asymptomatic. Tonsilloliths can be discovered incidentally in orthopantomography (OPT) as singular or multiple radioopacities in the area of the ramus mandibulae. The aim of this case report is to present two cases with asymptomatic tonsilloliths detected based on an OPT and confirmed in a computed tomography (CT) or by magnetic resonance imaging (MRI).