Moderate anterior epidural haematoma extending from the clivus fracture to C7, with a maximal thickness of 6 mm, abutting the cord throughout its length.
Small amount of posterior epidural haematoma at C6/7. Incompletely imaged, likely small volume posterior epidural haematoma at T2-3 level.
C6-7 discoligamentous rupture with bilateral perched facets and 8 mm anterior displacement of C6 on C7. Disruption of the ALL, PLL and ligamentum flavum, as well as the interspinous ligaments.
Disc material/haemorrhage posterior to C6 abuts the cord. The cord is compressed at this level, with evidence of cord haemorrhage. The abnormal cord signal extends to the C7-T1 level. The rest of the cord has normal signal.
Right C2 lateral mass fracture extending into the odontoid process. Fluid within the right C1-2 lateral articulation, with mild widening of the joint.
Clivus and occipital condyle fractures, with tearing of the tectorial membrane at the clivus fracture site. The apical ligament is torn. The alar ligaments are intact, with sprain of the left alar ligament.
C7 anterosuperior corner avulsion fracture fragment, with oedema along the superior body.
Left C1 lateral mass fracture extending into the foramen transversarium.
T1 vertebral body rounded to T2 hyperintense lesion, with faint T1 hyperintensity in keeping with haemangioma.
Vertebral artery flow voids are maintained throughout.
Large amount of posterior interspinous oedema.