There is a comminuted fracture involving the C2 vertebra. Specifically, the fracture involves the base of the odontoid and extends to the vertebral body and lateral masses bilaterally, particularly on the right. There is no significant displacement of the odontoid process and no evidence of central canal stenosis.
The fracture extends to the transverse foramen on the right side and also extends to the lateral atlantoaxial joints, more signficantly on the right where there is slight distraction of the joint.