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Type 1 Dens Fracture
Trauma due to motor vehicle collision. Diagnosis? • Xray of the Week Figure 1. CT images of the cervical spine (A) sagittal view and (B) coronal view. What is the important finding on this CT scan? Figure 2. CT scan of a Type I dens fracture. Red arrows point to the fracture line at the tip of the dens. Figure 3. Anderson and D’Alonzo dens fracture classification system. Diagram by Neal Joshi. Type I is an oblique avulsion fracture involving the upper tip of the dens, usual


Bilateral Facet Dislocation at C7-T1
A 70-year-old female fell off her bed while changing a light bulb and complains of left shoulder pain. What is the diagnosis? • Xray of the Week Figure 1. Non-contrast CT of the cervical spine. What is the diagnosis? Figure 2. Non-contrast CT of the cervical spine (sagittal reconstructions): Bilateral facet dislocation at C7-T1 with anterior subluxation of C7 on T1. The inferior facets of C7 are locked anterior to the superior facets of T1 (yellow and green arrows), with ante


Arachnoiditis Ossificans
An 74-year-old male with chronic low back pain and progressive lower extremity weakness. What is the diagnosis? • Xray of the Week Figure 1. Non-contrast CT of the lumbar spine. What is the diagnosis? Figure 2. Non-contrast CT of the lumbar spine (axial, sagittal, and coronal reconstructions): Central pattern of arachnoiditis ossificans demonstrating dagger-like ossification within the central spinal canal at the L5 level (red arrows). The linear, hyperdense bony bar courses


Cervical Rib
What is the significance of this anomaly? • Xray of the Week Figure 1. What is the significance of this anomaly? Figure 2. Axial and coronal CT images of the cervical spine along with 3D CT reconstruction demonstrating a right cervical rib. A. Axial CT of the cervical spine detailing a unilateral, right cervical rib at the level of C7 (red arrow) B. Axial CT image further demonstrating the unilateral right cervical rib (red arrow) C. 3D CT reconstruction of a right cervical


Type 2 Dens Fracture
93 F with trauma from a fall. Neck pain • Xray of the Week Figure 1. What is the important finding on this CT scan. Figure 2. CT scan of Type 2 dens fracture. Red arrow is pointing to the fracture line at the base of the dens. Figure 3. Anderson and D’Alonzo dens fracture classification system. Diagram by Neal Joshi. Type I: Avulsion fracture of the tip of the dens, usually stable. Type II: Fracture of the base of the dens, usually unstable. Type III: Fracture involving the


Type 3 Dens Fracture
86 F in motor vehicle collision. Neck pain • Xray of the Week Figure 1. What is the important finding on this CT scan. Figure 2. CT scan of Type 3 dens fracture. Red arrow is pointing to the fracture line at the junction of the dens and body of C2. Figure 3. Anderson and D’Alonzo dens fracture classification system. Diagram by Neal Joshi. Type I: Avulsion fracture of the tip of the dens, usually stable. Type II: Fracture of the base of the dens, usually unstable. Type III:


VACTERL Association
Hypoxia in a Neonate • Xray of the Week What is the diagnosis? Figure 1. Frontal chest and abdomen radiographs. What is the diagnosis?...


Xray of the Week 2016 • 52 cases in less than 5 minutes
Here's all my 2016 cases in one quick video: Kevin Rice, MD serves as the Chair of the Radiology Department of Valley Presbyterian...


Transitional Lumbosacral Vertebra
Vote for the Correct Spine Labeling • Xray of the Week 2016 • Week #46 RADIOLOGISTS - It's not too late to vote! This could have serious...


Subacute Combined Degeneration of the Cord
Paresthesias • Xray of the Week 2016 • Week #42 This 60 year old caucasian male with stage 4 fibrosis of liver presented with unsteady...





















