Whiplash injury. Evaluate for fracture. There are foci of air at the right C1-C2 level which may be related to distraction of the joint at this level. There is however no evidence of fracture or traumatic subluxation in the cervical spine. Atlantodental interval is maintained. No prevertebral edema.Vertebral body heights are normal. There is mild retrolisthesis of C3 on C4 which is favored to be degenerative in etiology as well as loss of cervical lordosis. Alignment is otherwise maintained. Multilevel degenerative changes are seen without high-grade bony spinal canal stenosis at any level. There is mild to moderate bilateral C3-C4 neural foraminal narrowing and moderate right C4-C5 neural foraminal stenosis. There is multilevel facet arthropathy, relatively worse at the left C2-C3 and right C4-C5 levels.
1. No evidence of acute fracture or traumatic subluxation in the cervical spine.2. There are foci of air at the right C1-C2 level which may be related to distraction of the joint. There is however no evidence of fracture or subluxation at this level. Atlantodental interval is maintained. No appreciable prevertebral edema. If there remains suspicion for ligamentous injury, consider MRI for further evaluation.