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CT C-Spine Verts

PROCEDURE: CT of the cervical spine, [DATE]. COMPARISON: Prior CT cervical spine dated [DATE]. TECHNIQUE: Contiguous axial CT images of the cervical spine from skull base to thoracic inlet were obtained without the use of iodinated contrast. Coronal and sagittal reformations were performed. FINDINGS: There is posterior fusion hardware which spans the C1-C3 levels with adjoining vertical rods. The left C2 screw appears to traverse the left vertebral foramen transversarium. The right C2 screw extends along the lateral surface of the vertebral foramen transversarium. Air density is noted around the screws consistent with immediate postoperative findings. The vertebral bodies maintain their normal alignment and there is no evidence of fracture or subluxation. Multilevel disc height loss and endplate hypertrophic changes are present in the cervical spine most prominent at C5-C6. Numerous bone fragments are present in the soft tissues extending posteriorly from the C3 spinous process. The patient is intubated. Surgical staples are noted within the posterior soft tissues of the neck. Surgical drain is seen within the posterior soft tissues. There is no lymphadenopathy, pathologic masses or fluid collections. The demonstrated airway is patent, without abnormal narrowing, filling defects or deviation. Soft tissue planes are normal. Polypoid mucosal thickening is present in bilateral maxillary sinuses. IMPRESSION: Status post C1-3 posterior fusion with left C2 screw traversing the left vertebral foramen. The right CT screw appears to extend along the lateral surface of the vertebral foramen. CT angiogram to follow.