Lateral Necks Case H,Case I : Cervical Spine Fractures,Epiglottitis

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TEST YOUR SKILL IN READING PEDIATRIC LATERAL NECKS

Radiology Cases in Pediatric Emergency Medicine Volume 2, Case 20
Loren G. Yamamoto, MD, MPH

Continued...

View Case H

Interpretation of Case H :

Bony Alignment: C2 is slightly anterior with respect to C3. However, Swischuk line is OK. Not able to see C7.
Vertebral bodies and disk spaces: Not able to fully see C6. Not able to see C7. The heights of C4 and C5 are compressed, more so anteriorly. C6 may also be compressed but it cannot be fully seen.
C1-C2: Normal.
Positioning: Flexion.
Prevertebral space: Not widened.
Prevertebral space: Not widened.
Epiglottis: Not able to see it on this view.
Subglottic airway size: Not able to fully assess it on this view. Impression: Cervical spine compression fractures.

View Case I

Interpretation of Case I :

Bony Alignment: Normal. Not able to see C7.
Vertebral bodies and disk spaces: Normal sizes. Not able to see C7.
C1-C2: Normal.
Positioning: Extension to neutral.
Prevertebral space: Not widened.
Epiglottis: Wide and thumb-like. The pre-epiglottic space is shallow.
Subglottic airway size: Slight narrowing inferiorly. Impression: Epiglottitis.

Next : Test your skill in reading pediatric lateral necks(Contd.)

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