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Normal Cervical Spine X-Ray Report Template (3-View)
Normal cervical spine radiograph report template: alignment lines, odontoid and prevertebral soft tissues, with C7-T1 adequacy and clearance wording notes.
EXAMINATION: Cervical spine radiograph, 3 views. CLINICAL HISTORY: [indication] COMPARISON: None available. TECHNIQUE: AP, lateral and open-mouth odontoid views of the cervical spine. FINDINGS: Alignment: Normal cervical lordosis. The anterior vertebral, posterior vertebral and spinolaminar lines are maintained. No subluxation. Vertebrae: Seven cervical vertebral bodies with preserved heights. No acute fracture. The C7-T1 junction is included on the lateral view. Odontoid: Intact, with symmetric lateral atlantodental intervals on the open-mouth view. Disc spaces: Preserved. No significant degenerative change. Prevertebral soft tissues: Normal thickness. Soft tissues: Otherwise unremarkable. IMPRESSION: 1. No acute fracture or malalignment of the cervical spine.
Dictation notes
- A lateral that does not include C7-T1 cannot clear the spine — say the study is inadequate and recommend a swimmer's view or CT rather than signing it out as normal.
- Prevertebral soft tissue swelling may be the only radiographic sign of injury — state explicitly that it is normal, and keep the adult thresholds (about 7 mm at C2, 21 mm at C6) in mind.
- Radiographs do not clear the obtunded or high-risk trauma patient; when the mechanism or exam demands it, the impression should offer CT rather than stay silent.
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