-year-old admitted with sepsis. Findings no unwitnessed fall. Assess for cervical spine injury. There is widening of intervertebral disk space at C5 -- C6 level. There is also slight retrolisthesis of C5 in respect to C6. Extensive irregularity and loss of bony density of the inferior half of C5 vertebrae and to a lesser degree of C6 vertebrae is noted. Although these findings may represent advanced degenerative disk disease with associated endplate changes possibility of an infectious process cannot be entirely ruled out. Further follow-up with an MRI examination with infusion is highly recommended. There are no old studies for comparison. The findings are not believed to be post traumatic. No distinct bony fractures identified. The bony density of the rest of the spine and the alignment remains unremarkable. Degenerative changes at other levels with hypertrophic spur formation is noted. Degenerative changes causes neural foramina compromise at C3 -- C4 on the right, C4 -- C5 bilaterally and C5 -- C6 bilaterally. Limited images of the apices of the lungs are unremarkable.
1.Findings at C5 -- C6 as detailed above. Further evaluation with an infused MRI is recommended to exclude an infectious process.2.No definitive evidence of fracture.3.Minimal retrolisthesis of C5 on C6. 4.5.