ABS TRACT Tonsilloliths are calcified structures that develop in enlarged tonsiller crypts that arepacked with bacteria and organic debris. Small areas of calcifications on tonsils are frequently encounteredmore commonly while larger concentrations and volumes of calcifications occurs witha much lower incidence. The ones with higher concentrations and volumes are named as “Tonsillolits”(Tonsil Stones). They can be single, multiple, unilateral or bilateral. They can cause symptomslike; recurrent bouts of sore throat, dysphagia, bad taste and odor, otalgia and a foreign bodysensation noted on swallowing. However, they are frequently totally asymptomatic. The purposeof this case report is to present the misdiagnosis of a radiopaque lesion associated with an impactedthird molar by interpretation from routine panoramic radiography. Further tomographic imagingrevealed that the radiopaque lesion is actually a tonsillolith which superimposed on the ramus ofthe mandible.