Mildly comminuted fracture of the right occipital condyle with 5 mm medial displacement, slightly narrowing the foramen magnum. No convincing extra-axial haematoma. C7 superior endplate fracture with 20% height loss, 2 mm anterior displacement of the fracture fragment. No extension into the posterior vertebral body or posterior elements. The spinal canal remains capacious. Cervical spine alignment is normal. Right first rib neck fracture noted. Tiny left apical pneumothorax.