Male, 45 days old, status post fall with abnormal CT findings, evaluate for ligamentous injury. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen. The intervertebral discs are intact.The cranio-cervical junction is normally aligned and intact. The retropharyngeal soft tissues appear mildly thickened and edematous centered on C1 and C2. However, no obvious spinal ligamentous injury is detected.The spinal cord shows normal signal intensity and morphology throughout. No epidural abnormalities are suspected. No significant compromise of the spinal canal or neural foramina is seen.
1.No evidence of acute osseous or ligamentous injury of the cervical spine.2.The retropharyngeal soft tissues appear mildly edematous which, along with the effect of positioning, may account for the abnormal findings on prior CT and plain films.