Background: Diffuse idiopathic skeletal hyperostosis (DISH) also known as Forestier's disease, senile ankylosing spondylosis, and ankylosing hyperostosis, is a non-inflammatory spondyloarthropathy of the spine. It is characterized by spiny ankylosis and enthesopathy (ossification of the ligaments and entheses). It most commonly affects the thoracic and thoraco-lumbar spine, but involvement is variable and can include the entire spine. Objective: This ia a rare disorder that made us to report this case. Method: C.E.C.T . Scan of Neck (Plain & Contrast) and Barium Swallow. 30 ml of barium contrast is given orally to patient, films were taken in AP and RAO views. Results: In CECT Scan of neck the observations made were: Gross bridging of the osteophytes over the anterior aspects of bodies of C2-C6 levels, atlas and clivus with mass effects? Diffuse Idiopathic Sclerotic Hyperosteosis (DISH). The barium swallow shows smooth narrowing of the pharyngeal lumen from C2 to C7vertebra with suspicion extrinsic compression. In Barium Swallow there was smooth narrowing of pharyngeal lumen from C2 to C7 with suspicion of extrinsic compression. Conclusions: DISH is a disease which involves the calcification of the anterior longitudinal ligament of the spine and can be associated with numerous clinical presentations and comorbidities
