Case Notes
History
39 yo female hit by a carExam
Prior Study
NoneDicom
Findings
Technique | Correct Answer | Your Answer |
---|---|---|
The craniocervical junction and/or C7-T1 are not entirely included on the exam. |
Yes | NA |
The exam is over or under penetrated. |
Yes | NA |
The exam is limited by overlying structures, bones or soft tissues, body habitus, patient positioning, support devices, or motion. |
Yes | NA |
Prevertebral and paravertebral soft tissues | Correct Answer | Your Answer |
---|---|---|
The soft tissues anterior to C1-C7 are widened or the prevertebral fat stripe is not seen. |
No | NA |
The paravertebral soft tissues are abnormally widened. |
N/A | NA |
There is calcification, foreign body, abnormal air, or other abnormal density in the prevertebral or paravertebral soft tissues. |
No | NA |
Vertebral bodies, posterior elements, and base of skull | Correct Answer | Your Answer |
---|---|---|
There is a fracture or deformity of the base of the skull or occipital condyles. |
No | NA |
There is a fracture or deformity of the anterior or posterior arch of C1. |
No | NA |
There is a fracture or deformity of the lateral mass(es) of C1. |
No | NA |
There is a fracture or deformity of the dens or C2 vertebral body. |
Yes | NA |
There is a fracture or deformity of the pars interarticularis/articular pillars or other posterior elements of C2. |
No | NA |
There is a fracture or distraction of a C3-T1 vertebral body, transverse or spinous process, or other posterior element. |
No | NA |
There is evidence of an end plate avulsion or other fracture. |
Yes | NA |
There is displacement of a fracture fragment into the soft tissues, spinal canal, or interlaminar clear zone of the spinal canal. |
No | NA |
There is anterior wedging or compression of a vertebral body or end plate. |
No | NA |
There is evidence of an aggressive disease process manifest as a lytic, sclerotic, or destructive abnormality of a vertebral body, end plate, pedicle, lamina, articular pillar, transverse or spinous process. |
No | NA |
|
No | NA |
Disc spaces and facet joints | Correct Answer | Your Answer |
---|---|---|
There is distraction or focal widening of a disc space. |
No | NA |
There is anterolisthesis, retrolisthesis, subluxation, or rotational abnormality of a disc space. |
No | NA |
There is widening, rotational abnormality, or displacement of facets at any motion segment (e.g. locked or jumped, perched facets, or fracture dislocation). |
No | NA |
There is disc space narrowing with or without erosive or sclerotic changes of the end plates other than from degenerative change. |
No | NA |
There is facet joint narrowing or sclerosis other than from degenerative change. |
No | NA |
Additional soft tissues and bones (neck, airway, upper thorax, ribs) | Correct Answer | Your Answer |
---|---|---|
The included maxillofacial region, thoracic spine, ribs, or other bones of the upper thorax are abnormal. |
No | NA |
There is air or a foreign body or other abnormality in the soft tissues of the lower head, neck or upper thorax. |
No | NA |
There is an apical mass, thickening, pleural cap or effusion, or pneumothorax. |
N/A | NA |
|
No | NA |
There are post surgical changes of the bones or soft tissues of the lower head, neck, or upper thorax. |
No | NA |
There is an abnormality or complication of post-surgical hardware. |
N/A | NA |
There are support lines or tubes in an abnormal position. |
No | NA |
Other findings | Correct Answer | Your Answer |
---|---|---|
There are degenerative changes or other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently. |
Yes | NA |