case_images: PMC9983093_01
case_images: (A) MRI T1-weighted sagittal image (2014) of the
  patient's cervical spine showing C2-C7 syndesmophytes. (B) MRI
  T2-weighted sagittal image (2020) of the patient's cervical spine. (C)
  MRI T1-weighted axial image (2014) of the cervical spine at the C2-C3
  level showing C2-C3 syndesmophytes compressing the hypopharynx (arrow).
  MRI: magnetic resonance imaging.
case_images: 10.1177_21514593231159353-fig1.jpg
case_images: PMC9983093_01_10.1177_21514593231159353-fig1.jpg
case_images: fig1-21514593231159353
case_images: These syndesmophytes were only slightly increased in size, with no notable difference in the nearby structure compression, compared with that previously observed in 2014 (Figure 1).
case_images: Images taken during the
  videofluoroscopic swallowing study performed 4 months after spinal cord
  injury onset. (A) A large amount of residue is visible in the vallecular
  space and pyriform sinus after swallowing. (B) An epiglottic closing
  problem due to syndesmophytes at the C2-C3 level (arrow) can be seen.
  (C) Penetration during swallowing (arrow).
case_images: 10.1177_21514593231159353-fig2.jpg
case_images: PMC9983093_01_10.1177_21514593231159353-fig2.jpg
case_images: fig2-21514593231159353
case_images: Penetration and aspiration were observed for all diets and during water intake, and an epiglottic closing problem due to syndesmophytes at the C2-C3 and C3-C4 levels was observed intermittently (Figure 2; Table 1).