A patient reports pain on turning the neck/shoulder and on swallowing, suggesting an elongated styloid process (Eagle syndrome). The most useful initial imaging is a:

Correct answer: B. Panoramic radiograph

• A. Bitewings show only crowns of posterior teeth.
• B. Correct. A panoramic film visualizes the styloid process and is the practical initial image for suspected Eagle syndrome.
• C. A periapical field is far too limited.
• D. An occlusal film does not show the styloid process.