Marked oedema and widening within the C1/2 interspinous space suggesting ligamentous disruption. Oedema is seen in the lateral masses of C2 compatible with fracture. Fluid is seen in the lateral C 1/2 articulations.
Lifting of the posterior longitudinal ligament posterior to C2 suggests extruded disc material.
Focal central disc bulge at C3/4 with likely disc extrusion with lifting of the posterior longitudinal ligament which appears thickened. There may be a small component of epidural blood products at this level.
Mild oedema without widening is seen at the C2/3 and C3/4 interspinous spaces.
Normal flow voids within the vertebral arteries.
Mild oedema superior to the dens may indicate supradental ligamentous sprain.
Haematoma seen within the paravertebral muscles at C2-C4.
The cervical cord has normal signal throughout.
- Likely disruption of the interspinous ligaments at C1/2.
- Interspinous ligamentous sprain C2/3 and C3/4
- Disc extrusions at C2/3 and C3/4 with a small component of epidural haematoma at the latter level
- Mild supradental oedema may indicate ligamentous sprain.