Summary:A 60-year-old man was seen in the King Faisal Specialist Hospital and Research Centre, Saudi Arabia, with 6 months' history of progressive dysphagia with the sensation of the presence of a foreign body, hoarseness of voice, limitation of neck flexion, and breathing difficulty on attempting neck flexion. A plain cervical radiograph, barium swallow, and computed tomography confirmed the presence of large cervical osteophytes, which were the cause of his symptoms.