Cyclist hit by car. Loss of consciousness. Strike on anterior side of the head. Right-sided neck pain.
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Well circumscribed lesion in vertebral body C4 with air density. No cortical disruption.
No traumatic injuries.
Findings are consistent with a vertebral pneumatocyst in the cervical spine. While being far less common than pneumatocysts near the sacroiliac joints, vertebral pneumatocysts most frequently occur in the cervical spine.