Phleboliths are idiopathic calcifications resulting from mineralised structures inside veins, venules or blood vessels. A 48-year-old woman presented with multiple hard bodies on palpation. Imaging studies revealed multiple, round, well-defined radiopaque lesions, extending from the coronoid process region down to the base of the mandible. The diagnosis was vascular malformation with multiple phleboliths. No treatment was proposed and the patient is under follow-up. Asymptomatic phleboliths of the head and neck region in an adult woman have been under surveillance.

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