CT is a good primary investigation for patients presented with dysphagia, especially solid type, to exclude possible causes of extrinsic compression upon the esophagus. The commonest of which are diffuse idiopathic skeletal hyperostosis (DISH) and eagle syndrome. It's possible to find both phenomena coexist together, although rare 1. Eagle syndrome, if symptomatic, can present also with vascular and neurological compression manifestations.