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Calcific tendinitis of the longus coli: diagnosis by CT.

A 50-year-old black woman was admitted to the hospital with severe neck discomfort. Symptoms had progressed over the period of 1 month to the point of disabling pain for the 5 days before admission. There was moderate dysphagia. Oral temperature ranged from 99-1 01 #{176}F for the 2 days before admission. There was no pertinent past medical history. The physical examination was normal except for excruciating pain on any movement of the neck. The sedimentation rate was 58. Multiple other laboratory examinations were normal including CSF. Extensive evaluation, including lumbar puncture, was unrevealing. Admission plain neck radiographs showed only prominence of the prevertebral soft tissues. The diagnosis of calcific tendinitis of the bongus coli was entertained but characteristically located soft-tissue calcifications could not be definitively identified despite repeat neck radiographs with multiple views including flexion and extension (Fig. 1 ). However, these were clearly demonstrated on subsequent CT (Fig. 2). The patient was treated with high-dose indomethacin, analgesics, and a cervical collar. Her symptoms gradually subsided over 2 weeks. Follow-up imaging studies were not obtained.