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The craniocervical junction is intact. Old nonunited fracture/pseudoarthrosis (type 2 odontoid fracture) with prominent degenerative changes and partial fusion of the odontoid with the anterior arch of C1. Normal spinal alignment preserved. No vertebral acute fractures or facet joint dislocations. Diffuse degenerative changes throughout the cervical spine.
No regions of high-grade spinal canal stenosis. The visible lung apices image normally.
Conclusion: No acute cervical spine fractures or facet joint dislocations. Odontoid pseudarthrosis with prominent degenerative changes (? secondary to prior trauma). Correlation with prior imaging if available would be useful.