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Cervical Spine CT Without Contrast

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Structured template for cervical spine CT imaging without intravenous contrast, including assessment of vertebral alignment, spinal canal, neural foramina, and intervertebral discs from skull base through thoracic inlet.

Last updated:

Title

Cervical Spine CT Without Intravenous Contrast

Clinical History

Patient-specific — populated from user input at report time. Shows "None" if not provided.

Comparison

Prior spine CT study dated [DATE].

Technique

Multiple contiguous 2 x 1 mm axial images were obtained from the skull base through the thoracic inlet without administration of intravenous contrast. Reformatted images in the coronal and sagittal planes were generated. Images were reviewed in soft tissue and bone windows.

Findings

The cervical spine is evaluated for alignment, fracture, stenosis, and degenerative changes.
Cervical Alignment and Lordosis: Preservation of normal cervical lordosis. Cervical alignment is maintained without vertebral body subluxation. No facet subluxation or dislocation is identified.
Prevertebral Soft Tissues: No significant prevertebral soft tissue swelling is identified.
Atlas (C1) and Axis (C2): The odontoid process appears intact. The atlanto-occipital articulation is unremarkable. The atlanto-dental articulation is unremarkable. The lateral atlanto-axial articulations appear unremarkable bilaterally.
Vertebral Bodies and Fractures: No acute fracture is identified. The vertebral body and disc space heights are grossly preserved.
Spinal Canal and Neural Foramina: There is no significant spinal canal stenosis or neural foraminal narrowing.
C2-C3 Disc Level: At the C2-C3 level, there is no significant posterior disc bulge, disc herniation, or significant spinal canal stenosis. There is no significant neural foraminal narrowing.
C3-C4 Disc Level: At the C3-C4 level, no significant abnormality is identified.
C4-C5 Disc Level: At the C4-C5 level, no significant abnormality is identified.
C5-C6 Disc Level: At the C5-C6 level, no significant abnormality is identified.
C6-C7 Disc Level: At the C6-C7 level, no significant abnormality is identified.
C7-T1 Disc Level: At the C7-T1 level, no significant abnormality is identified.
Technical Limitations: The evaluation of the spinal canal and its contents below the level of [SPECIFIC LEVEL] is limited secondary to beam hardening artifact related to shoulders.

Impression

1. No evidence of acute fracture or subluxation. 2. No significant foraminal or central spinal canal stenosis.

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