Demographics:
2 months old, Male
Indication:
Trauma, no fracture on CT
Findings
- STIR signal hyperintensity in the anterior aspect of the C3 vertebral body without associated height loss or malalignment
- Focal discontinuity of the posterior longitudinal ligament at the level of C3
- Trace ventral epidural collection at the level of C3 without significant associated narrowing of the spinal canal
- T2/STIR signal hyperintensity in the right greater than left C2-C3 facet joints
- Prevertebral soft tissue thickening extending from the craniocervical junction to the level of C4 with T2/STIR signal hyperintensity and areas of T1 signal hyperintensity
- T2/STIR signal hyperintensity in the posterior paraspinal soft tissues, most notably at the level of C2-C3
Diagnosis
Cervical spine fracture and ligamentous injury
Sample Report
STIR signal hyperintensity in the anterior aspect of the C3 vertebral body concerning for acute fracture. No associated height loss or malalignment.
Trace ventral epidural hematoma at this level without significant associated spinal canal stenosis or cord signal abnormality.
Focal disruption of the posterior longitudinal ligament at the level of C3.
Fluid in the right greater than left facet joints at C2-C3 raises concern for facet capsular injury.
Prevertebral edema/hematoma extending from the craniocervical junction to the level of C4.
Discussion