Conclusions

Cervical DISH is a relevant and often underrecognized structural cause of dysphagia in elderly patients. A high index of clinical suspicion is warranted in elderly patients presenting with unexplained dysphagia, particularly when anterior cervical osteophytosis is identified on imaging studies. Clinicoradiological correlation enables accurate diagnosis and appropriate management, preventing potentially serious complications. This case highlights cervical DISH as an important and treatable cause of progressive dysphagia, emphasizing the value of cross-sectional imaging for accurate diagnosis.