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The correct diagnosis is Eagle syndrome. Lateral view plain radiograph shows calcification of the stylohyoid ligament.

Treatment with non-steroidal anti-inflammatory drugs was initiated, with referral to ENT for further evaluation.

Acknowledgment: The patient was treated and the case presented by Rajesh Davit, MD, chief resident, Family Medicine Residency, Greenville Hospital System University Medical Center, Greenville, SC.

Insights In Images: October, 2007 -2