Examination shows lymphoid hypoplasia (tonsils and adenoids, no splenomegaly or lymphadenopathy). He encountered severe breathing problems that required the removal of his adenoids and tonsils. Some authors speak of two pharyngeal tonsils/two adenoids. Tonsilloliths or tonsil stones are calcifications that form in the crypts of the palatal tonsils. The palatine tonsils can become enlarged (adenotonsillar hyperplasia) or inflamed (tonsillitis). Common symptoms include fever, sore throat, red tonsils, and enlarged lymph nodes in the neck. Tonsillitis is an inflammation of the tonsils. Others recommended shortening the uvula or removing the tonsils. The tonsils will appear swollen and reddened. Furthermore, the tonsils filter tissue fluid whereas lymph nodes filter lymph. Tonsillitis is inflammation of the tonsils, typically of rapid onset. The adenoid is often removed along with the palatine tonsils. The adenoid, unlike the palatine tonsils, has pseudostratified epithelium. It replicates in the nasal and nasopharyngeal tissues and the tonsils. Bacterial infection of the tonsils usually follows the initial viral infection.