The upper anterior prevertebral soft tissues are thickened, particularly at the level of the adenoids. No soft tissue gas or calcification. Straightening of the normal cervical lordosis, with mild disc space loss at C4/5 and C6/7 with endplate lipping. Prior undisplaced fracture of the C7 spinous process. No acute bony abnormality. Several teeth been extracted, with suspected caries in an upper molar.