case_images: PMC9769081_01
case_images: Sagittal MRI scan of the cervical spine demonstrating a 3 column disco-ligamentous injury at C5/6.
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case_images: f1
case_images: Subsequent MRI of the cervical spine confirmed an extension 3 column disco-ligamentous injury at C5/6 with tear of the C5/C6 disc, anterior longitudinal ligamen and ligamentum flavum, injury to the interspinous and nuchal ligaments, avulsion fracture of the anterior inferior C5 vertebral body and a fracture through the C5 spinous process [Figure 1].
case_images: Sagittal post-operative radiograph of the cervical spine.
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case_images: PMC9769081_01_acc-09-04-154-g002.jpg
case_images: f2
case_images: The patient underwent a C5/C6 anterior cervical spine discectomy and fusion (ACDF) with iliac crest bone autograft [Figure 2].
case_images: Axial CT scan of lung apices demonstrating paramediastinal fibrosis in the upper left lung consistent with post-radiotherapy change.
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case_images: f3
case_images: These included an axial CT scan demonstrating paramediastinal fibrosis in the upper left lung consistent with post-radiotherapy change [Figure 3], and a PET CT demonstrating left sided apical soft tissue thickening and scarring in the region of the recurrent laryngeal nerve [Figure 4].
case_images: Coronal PET CT of lung apices demonstrating left sided apical soft tissue thickening and scarring in the region of the recurrent laryngeal nerve.
case_images: acc-09-04-154-g004.jpg
case_images: PMC9769081_01_acc-09-04-154-g004.jpg
case_images: f4
case_images: These included an axial CT scan demonstrating paramediastinal fibrosis in the upper left lung consistent with post-radiotherapy change [Figure 3], and a PET CT demonstrating left sided apical soft tissue thickening and scarring in the region of the recurrent laryngeal nerve [Figure 4].