|Keratosis Pharyngis- Note white debris deposited in crypts of both tonsils.
Whitish spicules due to hyperkeratinized areas of epithelium are sometimes extensive over tonsils and lingual tonsils. It is usually a chance finding. No treatment is required for this condition unless it is associated with tonsillitis.
(Look at both the tonsils having whitish spicules. Interestingly this girl had same thing over base of tongue also. I advised frequent gargles only)