Tonsillolith is a rare dystrophic calcification which results due to chronic inflammation of the tonsils.Although they may be asymptomatic, some may cause halitosis, cough, dysphagia, and foreign body sensation, as well as otalgia. These tonsilloliths can be detected on panoramic radiographs as radiopaque lesions, and can mimick the radiographic picture of many other pathologies. Hence, a dentist should be familiar with radiographic characteristics of this type of calcification.