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Elongated and calcified stylohyoid ligament on lateral neck radiograph (arrow) measuring 4.6 cm, with normal being 3 cm or less

A 17-year-old man presented to the emergency department with odynophagia and a foreign body sensation in the throat after choking on a chicken wing. A soft-tissue neck radiograph revealed a 4.6-cm linear object in the vallecula that the radiologist interpreted as a chicken bone. Nasopharyngeal laryngoscopy was unremarkable. On physical examination, the right tonsillar fossa was tender to palpation. On further review of the radiograph, the right stylohyoid ligament was noted to be elongated and calcified. (Source: Cohn JE, Othman S, Sajadi-Ernazarova K. Eagle syndrome masquerading as a chicken bone. Int J Emerg Med 2020;13[1]:1. Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0.)