LAUSR

A n 80-year-old man with a history of hypertension presented with shortness of breath due to a COPD exacerbation. He also had three weeks of solid meal dysphagia. A video fluoroscopic swallow study showed pharyngeal stenosis. Laryngoscopy demonstrated fullness in the posterior pharyngeal wall. Lateral cervical x-ray (Fig. 1) and cervical spine CT (Fig. 2) showed large cervical osteophyte formation consistent with diffuse idiopathic skeletal hyperostosis (DISH). He underwent cervical spine osteophyte resection, and his oropharyngeal dysphagia resolved. DISH is a non-inflammatory disease characterized by ossification of the tendon, ligament, or joint capsule