In these days of rapid advances in diagnostic technic we are inclined to overlook the value of the x-ray film in the diagnosis of simple ailments. Scanning the literature, one is impressed with the paucity of articles dealing with lesions of the epipharynx, particularly adenoids. Pancoast, Pendergrass, and Schaeffer (4) briefly mention adenoids in their excellent textbook. Young (5) passes them off with a few sentences. Adenoid vegetations were pointed out on the roentgen film as early as 1898 by Mignon (Paris). Grandy (1) gave a roentgenographic description of adenoids in 1925, and Groth (2) submitted a comprehensive paper on the roentgen aspects of the epipharynx and adenoids in 1933. Anatomy The pharynx is a vertical musculomembranous passage, flattened anteroposteriorly, extending from the base of the skull above to the beginning of the esophagus below. Posteriorly it is in relationship with the cervical vertebrae; laterally, with the internal and common carotid arteries, the internal jugular vein, th...