Finding-the-Path: Lateral radiographs of cervical spine with shoulder traction

Lateral Radiograph with Shoulder traction
AP Radiograph with Shoulder Traction

The lateral cervical spine radiograph shows mild compression (anterior wedging) of the C7 vertebra (black arrows) with prevertebral soft tissue swelling anterior to C7 as demonstrated by fat pad displacement (white arrow). The AP film is normal. A complete cervical spine radiograph series is performed and does not show other abnormalities. Lateral flexion and extension views also do not show abnormal motion.

Which study do you request next?

• MRI of the cervical spine
• Tomography of the cervical spine
• CT of the cervical spine limited to lower cervical area
• Barium swallow