Multiple Calcified Lymph Nodes with Airway Narrowing on Orthodontic Evaluation

A 6-year-old male without significant medical history was referred for orthodontic evaluation. Upon review, the radiologist identified multiple bilateral calcified lesions in the masticator, parapharyngeal, cervical, and submandibular spaces, most suggestive of calcified lymph nodes. One enlarged area along the posterior pharyngeal wall was noted to be causing airway asymmetry. The patient was referred to pediatrics and ENT for further evaluation and to identify the underlying condition, which is typically of infectious origin.