Differential diagnosis of a prehistoric biological object from the Koster (Illinois) Site

This paper details the differential diagnosis of a biological artifact recovered from a burial within the Koster Middle Archaic site in Illinois. The burial was excavated from the Middle Archaic 3, Helton Phase component (∼5800–4900 BP). The artifact was a calcified nodule of unequivocal biological origin recovered from the pelvic region of an adult (50+ years) female. Morphological and radiographic analysis of the object resulted in the consideration of 19 possible diagnoses; all but four could be eliminated. Possible interpretations of the object as a lithopaedion, calcified lymph node, amputated ovary or simple ovarian cyst are examined in detail. Of these, calcified lymph node or amputated ovary remain most probable.